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1962237420
SHANNON KELLEY
WHEELING, WV
NPI
1962237420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-09-04
Last Update Date
2024-11-21
Business Address
SHANNON KELLEY
2000 MAIN ST
WHEELING, WV 26003-2829
Phone number: 304-905-9860
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Mailing Address
SHANNON KELLEY
3643 STATE ST
WEIRTON, WV 26062-4423
Phone number:
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