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Individual
KELLEY MARIE MCDANIEL
Active
Individual
KELLEY MARIE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089366
MI
251B00000X
Case Management Agency
Primary
6802089366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6802089366
—
MI
Enumeration date
08/01/2017
Last updated
07/01/2026
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