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1942044722
AUSTIN KELL DANCE
DAYTONA BEACH, FL
NPI
1942044722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 20555)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
AUSTIN KELL DANCE
240 N FREDERICK AVE
DAYTONA BEACH, FL 32114-3400
Phone number: 386-675-0205
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Mailing Address
AUSTIN KELL DANCE
240 N FREDERICK AVE
DAYTONA BEACH, FL 32114-3400
Phone number: 386-675-0205
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