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1972230753
KELLY DEJESUS
RALEIGH, NC
NPI
1972230753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017989)
Enumeration Date
2022-08-02
Last Update Date
2022-10-27
Business Address
KELLY DEJESUS LCSWA
3937 WESTERN BLVD
RALEIGH, NC 27606-1936
Phone number: 919-821-0790
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Mailing Address
KELLY DEJESUS LCSWA
2805 SMOKE PL
RALEIGH, NC 27610-5989
Phone number: 919-868-0492
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