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Individual
KRISTY LEE NUTT
Active
Individual
KRISTY LEE NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.0800205
OH
1041C0700X
Clinical Social Worker
Primary
CW020016
PA
1041C0700X
Clinical Social Worker
DP00943132
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208663
—
OH
05
—
1841430956
—
WV
Enumeration date
03/02/2009
Last updated
02/07/2022
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