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1225078405
KATHLEEN KELSEY
SOUTH BEND, IN
NPI
1225078405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34005008A)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- KATHLEEN KELSEY LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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Mailing Address
-- KATHLEEN KELSEY LCSW
PO BOX 316
CULVER, IN 46511-0316
Phone number: 574-225-0685
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