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Individual
MRS. JULIE MARGARET KELLY
Active
Individual
MRS. JULIE MARGARET KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L,M.S.W., C.A.C.-R.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801072859
MI
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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