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Individual
KELLY CATHERINE HAGGERTY
Active
Individual
KELLY CATHERINE HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
LMSW-30113
ID
1041C0700X
Clinical Social Worker
Primary
—
MI
Other
Enumeration date
03/07/2011
Last updated
10/08/2020
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