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Individual
KELLIE A HOPKINS
Active
Individual
KELLIE A HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC161960
OH
1041C0700X
Clinical Social Worker
Primary
I.2203750
OH
Other
Enumeration date
11/09/2017
Last updated
07/13/2022
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