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Individual
MS. KELLY MICHELLE VAHEY
Active
Individual
MS. KELLY MICHELLE VAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11308
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401845100
—
MD
01
—
578063000
MAGELLAN MIS #
MD
01
—
620491-03
CAREFIRST MD RENDERING #
MD
01
—
QH98KM
CAREFIRST MD PROVIDER #
MD
01
—
W945-0001
CAREFIRST GHMSI
MD
Enumeration date
01/05/2007
Last updated
03/26/2014
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