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Individual
MS. KELLY MINOR
Active
Individual
MS. KELLY MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
013491
CT
1041C0700X
Clinical Social Worker
12589-123
WI
1041C0700X
Clinical Social Worker
6801115459
MI
1041C0700X
Clinical Social Worker
Primary
SW 5779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M560513595410
—
FL
Enumeration date
05/18/2016
Last updated
05/01/2026
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