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1730744574
KELLY WALTERS
LIMA, OH
NPI
1730744574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 169055)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
KELLY WALTERS
311 E MARKET ST
LIMA, OH 45801-4535
Phone number: 419-222-4474
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Mailing Address
KELLY WALTERS
1109 ROSEDALE ST
MAUMEE, OH 43537-3243
Phone number: 419-442-1301
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