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1215325550
KELLY MARIE WOODWORTH
MANSFIELD, OH
NPI
1215325550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH 1100414-CR)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
-- KELLY MARIE WOODWORTH PC-CR
1451 LUCAS RD
MANSFIELD, OH 44903-8682
Phone number: 419-589-5511
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Mailing Address
-- KELLY MARIE WOODWORTH PC-CR
1451 LUCAS RD
MANSFIELD, OH 44903-8682
Phone number: 419-589-5511
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