Individual
MRS. KELLY MARIE PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
270 STERKEL BLVD, MANSFIELD, OH 44907-1508
(419) 756-1133
Mailing address
6815 COUNTY ROAD 37, PO BOX 9166, LEXINGTON, OH 44904-9694
(419) 362-1597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
I0007769
OH
Other
Enumeration date
05/03/2007
Last updated
03/16/2010
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