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Individual
KELLY C DIGUILIO
Active
Individual
KELLY C DIGUILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
467
AK
1041C0700X
Clinical Social Worker
Primary
0904009898
VA
1041C0700X
Clinical Social Worker
C013089
NC
1041C0700X
Clinical Social Worker
SW19515
FL
Other
Enumeration date
03/20/2015
Last updated
09/06/2022
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