MARCUS JEROME KELLY

MOORE, OK
NPI1992065619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  081111886)
Enumeration Date2012-05-29
Last Update Date2012-05-29
Business Address
-- MARCUS JEROME KELLY
1805 MEAD LN
MOORE, OK 73170-1472
Phone number: 405-201-8496
Mailing Address
-- MARCUS JEROME KELLY
1805 MEAD LN
MOORE, OK 73170-1472
Phone number: 405-201-8496
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