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1982245049
DETRA KELLY
SALISBURY, MD
NPI
1982245049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD 22747)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
Ms. DETRA KELLY LCSW-C
540 RIVERSIDE DR STE 8
SALISBURY, MD 21801-5352
Phone number: 410-548-3333
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Mailing Address
Ms. DETRA KELLY LCSW-C
540 RIVERSIDE DR STE 8
SALISBURY, MD 21801-5352
Phone number: 410-548-3333
Copy
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