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Individual
KATELYN KELLY
Active
Individual
KATELYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LICSW1140100
MA
Other
Enumeration date
07/20/2021
Last updated
07/11/2025
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