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1881304400
KELLY SUSAN WASHINGTON
FAIRMONT, WV
NPI
1881304400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
KELLY SUSAN WASHINGTON
909 MORGANTOWN AVE
FAIRMONT, WV 26554-4335
Phone number: 304-366-5832
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Mailing Address
KELLY SUSAN WASHINGTON
909 MORGANTOWN AVE
FAIRMONT, WV 26554-4335
Phone number: 304-366-5832
Copy
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