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Individual
KELLEE A LOVE
Active
Individual
KELLEE A LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165497
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161805
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
01/24/2018
Last updated
10/09/2018
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