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Individual
KELLY A JANSON
Active
Individual
KELLY A JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.30901031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186479
—
OH
Enumeration date
07/19/2012
Last updated
12/06/2018
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