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Individual
LISA MARY KELZ
Active
Individual
LISA MARY KELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
077039614RN
OR
Other
Enumeration date
12/05/2013
Last updated
12/20/2013
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