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Individual

MRS. KELLY JO STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCMH

Contact information

Practice address
103 MONT BLANC BLVD, DOVER, DE 19904
(302) 678-3020
(302) 678-2458
Mailing address
1213 DELAWARE AVENUE, WILMINGTON, DE 19806
(302) 652-3948
(302) 652-8297

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0000433
DE

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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