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Kelly Lee Altic, LSW

Social Worker in Dayton, OH. Individual provider (NPI-1).

NPI number1508735366
StatusActive
Last updated in NPPESOct 31, 2025

Details

NPI
1508735366
Entity type
Individual (NPI-1)
Name
Kelly Lee Altic
Credential
LSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 31, 2025
Certification date
Oct 31, 2025
Last updated
Oct 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerS.1803088OHYes

Practice location

4100 W 3rd St
Dayton, OH 45428-9000

Phone 937-268-6511 · Fax 937-267-7596

Mailing address

4100 W 3rd St
Dayton, OH 45428-9000

Phone 937-268-6511 · Fax 937-267-7596

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