Kellie Lyn Rae LISW

NPI 1700076817 - Social Worker - 1041C0700X

NPI Details
NPI 1700076817
Gender Female
Enumeration Date 07/26/2007
Last Updated 07/16/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
5743 FOREST ELM LN APT B
COLUMBUS OH, 43229-3753, US
Phone (614) 582-9374
Fax
Business Location
5743 FOREST ELM LN APT B
COLUMBUS OH, 43229-3753, US
Phone (614) 582-9374
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Ohio
License Number 7839
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According to our database, Kellie Lyn Rae LISW NPI is 1700076817, taxonomy code is 1041C0700X and license number is 7839, license state is located at Ohio. Kellie Lyn Rae LISW physically located at 5743 Forest Elm Ln Apt B, Columbus OH, 43229-3753. NPI Number Kellie Lyn Rae LISW has the Individual type.

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1700076817 NPI number is provided on an as is basis without warranty of any kind. 1700076817 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie Lyn Rae LISW are for informational purposes only.