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Individual
MISS JENNA LYNN KELLEY
Active
Individual
MISS JENNA LYNN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1232
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982127965
—
WY
Enumeration date
07/20/2017
Last updated
07/21/2022
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