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Individual
DARWIN RAY KELLICUT
Active
Individual
DARWIN RAY KELLICUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW 179
ID
1041C0700X
Clinical Social Worker
LW00004911
WA
106H00000X
Marriage & Family Therapist
Primary
LF00001127
WA
106H00000X
Marriage & Family Therapist
LMFT 3089
ID
Other
Enumeration date
08/03/2006
Last updated
09/11/2025
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