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Individual
MISS KELLY URBANOWICZ
Active
Individual
MISS KELLY URBANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC00169
RI
101YP2500X
Professional Counselor
Primary
002187
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031310
NHP-RI
RI
01
—
27262-9
BCBS
RI
01
—
412332
BCBS BLUE CHIP
RI
01
—
486309
TUFTS TOTAL HEALTH PLAN
RI
05
—
KU53902
—
RI
Enumeration date
10/18/2006
Last updated
06/11/2012
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