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Individual
KELLY SMITH
Active
Individual
KELLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
272517
KY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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