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Individual
PAUL ANDREW KELVINGTON
Active
Individual
PAUL ANDREW KELVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW,LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.009378
IL
1041C0700X
Clinical Social Worker
Primary
149.015592
IL
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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