Marcus Jerome Kelly

NPI #1992065619 in Moore, Oklahoma

Provider Information

NPI Number
1992065619
Entity Type
Individual
Name
Marcus Jerome Kelly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
May 29, 2012
Last Updated
May 29, 2012

Practice Location

Address
1805 MEAD LN
City
Moore
ZIP Code
73170-1472
Phone
(405) 201-8496

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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