MRS. Kelly Marie Pack, MSW, LISW-S

NPI #1972725448 in Mansfield, Ohio

Provider Information

NPI Number: 1972725448
Entity Type: Individual
Name: MRS. Kelly Marie Pack, MSW, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MSW, LISW-S
Enumeration Date: May 3, 2007
Last Updated: Mar 16, 2010

Practice Location

Address: 270 STERKEL BLVD
City: Mansfield
State: Ohio
ZIP Code: 44907-1508
Phone: (419) 756-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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