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Individual
KELLY ANNE FOX
Active
Individual
KELLY ANNE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC012218
PA
101YP2500X
Professional Counselor
Primary
PC012218
PA
Other
Enumeration date
09/28/2021
Last updated
05/21/2024
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