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Individual
KIMBERLY KELLY
Active
Individual
KIMBERLY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007124
PA
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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