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Individual
KELLY URBAN
Active
Individual
KELLY URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
33841
TX
1041C0700X
Clinical Social Worker
5855
TN
1041C0700X
Clinical Social Worker
C8157
MS
1041C0700X
Clinical Social Worker
Primary
SW11975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487159-01
—
TX
Enumeration date
02/18/2009
Last updated
05/03/2015
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