Individual
MR. JOSEPH LEE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
900 OLD COMBEE RD LOT 86, LAKELAND, FL 33805-9508
(727) 250-8817
Mailing address
900 OLD COMBEE RD LOT 86, LAKELAND, FL 33805-9508
(727) 250-8817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
59814
FL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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