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Individual
MISS MARY KENT
Active
Individual
MISS MARY KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCIII, QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161641
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
OH
Other
Enumeration date
11/22/2017
Last updated
06/29/2023
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