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Organization
KELLY CARLSON, LLC
Active
Organization
KELLY CARLSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CARLSON LMHC (OWNER)
(561) 354-8795
Entity
Organization
Contact information
Practice address
2026 SE OCEAN BLVD, STUART, FL 34996-3304
(561) 354-8795
Mailing address
5500 MILITARY TRAIL, #22-106, JUPITER, FL 33458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8729
FL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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