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Individual
KEVIN JOSEPH PELKOWSKI
Active
Individual
KEVIN JOSEPH PELKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
C019403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376021014
—
NC
Enumeration date
08/03/2018
Last updated
09/09/2026
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