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Individual
KELLY WADSWORTH
Active
Individual
KELLY WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60222206
WA
101YM0800X
Mental Health Counselor
MC60222206
WA
101YP1600X
Pastoral Counselor
MC60222206
WA
101YP2500X
Professional Counselor
MC60222206
WA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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