Individual
GWENDA J KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C
Contact information
Practice address
207 1ST ST, JACKSON, MI 49201-2102
(517) 998-4673
Mailing address
207 1ST ST, JACKSON, MI 49201-2102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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