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Individual
KELLY ANN WHEELER
Active
Individual
KELLY ANN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0890063051
VT
1041C0700X
Clinical Social Worker
Primary
C007758
NC
Other
Enumeration date
03/31/2010
Last updated
09/26/2012
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