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Individual
MRS. JAN KELLER SCHULTZ
Active
Individual
MRS. JAN KELLER SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LCSW BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000465
CT
1041C0700X
Clinical Social Worker
149012618
IL
1041C0700X
Clinical Social Worker
Primary
19835
OH
Other
Enumeration date
08/21/2006
Last updated
04/08/2010
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