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Individual
KEVIN WELCH
Active
Individual
KEVIN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAD4481
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164484093
—
ME
Enumeration date
03/07/2013
Last updated
03/07/2013
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