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Individual
KIMBERLEY S KELLY
Active
Individual
KIMBERLEY S KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LMSW, IADC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001380
IA
104100000X
Social Worker
03163
IA
Other
Enumeration date
11/18/2005
Last updated
05/08/2017
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