Provider Information for 1245480326
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Ms. LAUREN K KELLY MA, LMFT
Sex: Female
NPI: 1245480326
Last Updated: 2008-09-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1245480326 | ||||||||
| Enumeration Date | 2008-09-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1000 PEACHTREE INDUSTRIAL BLVD SUITE 6-284 SUWANEE, GA 30024-6737 United States Phone: 770-530-1821 | Fax: | ||||||||
| Primary Practice Address | 1000 PEACHTREE INDUSTRIAL BLVD SUITE 6-284 SUWANEE, GA 30024-6737 United States Phone: 770-530-1821 | Fax: | ||||||||
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