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Individual
VERONICA KELLY
Active
Individual
VERONICA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20963
NC
104100000X
Social Worker
C010275
NC
1041C0700X
Clinical Social Worker
Primary
C010275
NC
Other
Enumeration date
07/23/2014
Last updated
04/27/2017
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