Individual
MRS. KELLY A MARINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
2421 13TH ST NW, CANTON, OH 44708-3116
(330) 452-6000
Mailing address
2421 13TH ST NW, CANTON, OH 44708-3116
(330) 452-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I0700283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0700283
STATE LICENSE
OH
Enumeration date
01/22/2010
Last updated
03/17/2025
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