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Individual
GINNY LYNN KELLY
Active
Individual
GINNY LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1028860
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159505
VALUE OPTIONS
—
05
—
1890140
—
MA
01
—
2023330
CIGNA
—
01
—
33106235301
PACIFICARE
—
01
—
349493
MAGELLAN
—
01
—
410720
BLUE CHIP
—
01
—
469030
TUFTS
—
01
—
P07349
BCBS
—
Enumeration date
08/15/2006
Last updated
07/08/2007
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