Provider Information for 1932725041
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KELSEY MARIE DEMART LPCC
Sex: Female
NPI: 1932725041
Last Updated: 2023-06-16
Certification Date: 2023-06-16
Certification Date: 2023-06-16
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932725041 | ||||||||||||
| Enumeration Date | 2020-06-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 144 ROBIN HOOD DR YOUNGSTOWN, OH 44511-3638 United States Phone: 330-502-0712 | Fax: | ||||||||||||
| Primary Practice Address | 725 BOARDMAN CANFIELD RD BOARDMAN, OH 44512-4380 United States Phone: 330-797-4050 | Fax: | ||||||||||||
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