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Organization
KJG-S. INC.
Active
Organization
KJG-S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SHELTON LCSW (PRESIDENT)
(850) 522-9719
Entity
Organization
Contact information
Practice address
105 JAZZ DR, PANAMA CITY, FL 32405-4906
(850) 522-9719
(850) 522-9718
Mailing address
105 JAZZ DR, PANAMA CITY, FL 32405-4906
(850) 522-9719
(850) 522-9718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11162
FL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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