Individual
KELLI-LEE KIMONE HARFORD
Active
Individual
KELLI-LEE KIMONE HARFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2765-57
WI
103TC0700X
Clinical Psychologist
Primary
PSY004160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2765-57
PSYCHOLOGIST
WI
Enumeration date
10/15/2008
Last updated
03/17/2018
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