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Individual
KELLY CLOSE
Active
Individual
KELLY CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2106761
OH
1041C0700X
Clinical Social Worker
Primary
I.2405550
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/19/2021
Last updated
03/06/2025
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