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Individual

MRS. KELLY JEANETTE ERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
2223 HILLBROOK DR, CAPE GIRARDEAU, MO 63701-2418
(573) 783-9864

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004024704
MO

Other

Enumeration date
06/14/2007
Last updated
04/21/2025
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