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Individual
KELLY MARIE HOWARD
Active
Individual
KELLY MARIE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LMHCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60406381
WA
101Y00000X
Counselor
Primary
MC60416426
WA
101YM0800X
Mental Health Counselor
CG60406381
WA
Other
Enumeration date
08/23/2013
Last updated
01/12/2015
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