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Individual
MRS. JANICE EILEEN KILEY
Active
Individual
MRS. JANICE EILEEN KILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
067431
NY
104100000X
Social Worker
B000617
NC
1041C0700X
Clinical Social Worker
Primary
C006350
NC
1041C0700X
Clinical Social Worker
P003932
NC
Other
Enumeration date
03/05/2007
Last updated
04/20/2020
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