Individual
MR. PAUL EDWARD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MENTAL HEALTH CLINIC
Contact information
Practice address
3698 SEABASS RD, DECATUR, GA 30034-6954
(404) 244-8836
(404) 244-9611
Mailing address
3698 SEABASS RD, DECATUR, GA 30034-6954
(404) 244-8836
(404) 244-9611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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