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Individual
MRS. KELLY FERRIS CREECH
Active
Individual
MRS. KELLY FERRIS CREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0009973-SUPV
OH
1041C0700X
Clinical Social Worker
L3534
OR
Other
Enumeration date
05/15/2006
Last updated
10/15/2023
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