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1144922915
KELLI RENEE DECKARD
BLOOMINGTON, IN
NPI
1144922915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34010292A)
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
KELLI RENEE DECKARD LCSW
482 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 812-333-8474
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Mailing Address
KELLI RENEE DECKARD LCSW
4240 N RIDGEWOOD DR
BLOOMINGTON, IN 47404-9640
Phone number: 812-361-3454
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