LAWRENCE EVERRETT KELLY

WOODBRIDGE, VA
NPI1942901293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-03-14
Last Update Date2023-04-14
Business Address
LAWRENCE EVERRETT KELLY
15018 CARLSBAD RD
WOODBRIDGE, VA 22193-1606
Phone number: 703-270-8403
Mailing Address
LAWRENCE EVERRETT KELLY
15018 CARLSBAD RD
WOODBRIDGE, VA 22193-1606
Phone number: 703-270-8403
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