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Individual
CATHLEEN M KELLEY
Active
Individual
CATHLEEN M KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000277
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094775
VALUE OPTIONS
—
05
—
1007281
—
VT
01
—
2302377
CIGNA BEHAVIORAL HEALTH
—
01
—
28173
BLUE CROSS BLUE SHIELD
VT
Enumeration date
04/21/2006
Last updated
04/06/2017
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