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1205558087
KELLY TAZI
COVINGTON, KY
NPI
1205558087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 256613)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
KELLY TAZI MSSW, LCSW
525 W 5TH ST
COVINGTON, KY 41011-1259
Phone number: 859-816-5504
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Mailing Address
KELLY TAZI MSSW, LCSW
509 W SOUTHERN AVE
COVINGTON, KY 41015-1363
Phone number: 859-739-8484
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