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Individual
KELLY CIOLETTI
Active
Individual
KELLY CIOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161925
OH
1041C0700X
Clinical Social Worker
Primary
1904468
OH
1041C0700X
Clinical Social Worker
2203945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902316581
—
OH
Enumeration date
10/09/2017
Last updated
10/11/2022
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