Individual
MRS. KELLY MARIE CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
270 REGENCY RIDGE DR, SUITE 202, DAYTON, OH 45459-4261
(937) 396-7077
Mailing address
270 REGENCY RIDGE DR, SUITE 202, DAYTON, OH 45459-4261
(937) 396-7077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0602166
OH
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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