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1952605693
KELLY LYNN NICODEMUS
JOHNSTOWN, PA
NPI
1952605693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
-- KELLY LYNN NICODEMUS
131 MARKET ST
JOHNSTOWN, PA 15901-1628
Phone number: 814-623-1212
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Mailing Address
-- KELLY LYNN NICODEMUS
3759 BUSINESS ROUTE 220
BEDFORD, PA 15522
Phone number: 814-623-1212
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