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Individual

KELLY E REDDIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4228 WISCONSIN AVE NW, WASHINGTON, DC 20016-2138
(202) 885-5600
Mailing address
1212 4TH ST SE APT 706, WASHINGTON, DC 20003-3496
(601) 209-7577

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGPC00341
DC

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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