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Individual
MELISSA JANE KELLEY
Active
Individual
MELISSA JANE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CL61029288
WA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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