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1891951190
TANISHA NICOLA KELLY
LOUISVILLE, MS
NPI
1891951190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-08-06
Last Update Date
2010-09-10
Business Address
MS. TANISHA NICOLA KELLY MS
507 W MAIN ST
LOUISVILLE, MS 39339-2559
Phone number: 662-773-9377
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Mailing Address
MS. TANISHA NICOLA KELLY MS
302 N JACKSON ST
STARKVILLE, MS 39759-2504
Phone number: 662-323-9261
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