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1104266014
KELLI JEAN SMITH
WATERLOO, IA
NPI
1104266014
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Former Name
KELLI JEAN CASE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 007960)
Enumeration Date
2013-06-25
Last Update Date
2023-09-06
Business Address
KELLI JEAN SMITH LISW
128 PLAZA CIR
WATERLOO, IA 50701-5139
Phone number: 319-774-3081
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Mailing Address
KELLI JEAN SMITH LISW
128 PLAZA CIR
WATERLOO, IA 50701-5139
Phone number: 193-774-3081
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