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Individual
KELSEY KING
Active
Individual
KELSEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
10241165-3501
UT
1041C0700X
Clinical Social Worker
17357
LA
Other
Enumeration date
07/11/2014
Last updated
05/04/2023
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