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Individual
KELLY JO POWELL-WILEY
Active
Individual
KELLY JO POWELL-WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093908
MI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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