Individual
DR. KELLY LYNN LEMAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010781
IL
103TH0100X
Health Service Psychologist
200043270
IN
103TH0100X
Health Service Psychologist
5412
NC
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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