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Organization
KELLY VIERRA, LCSW, LLC
Active
Organization
KELLY VIERRA, LCSW, LLC
Active
Other names
Kelly Vierra, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY VIERRA (CLINICAL THERAPIST)
(773) 807-8474
Entity
Organization
Contact information
Practice address
4043 N RAVENSWOOD AVE STE 306D, CHICAGO, IL 60613-5683
(773) 807-8474
Mailing address
4043 N RAVENSWOOD AVE STE 306D, CHICAGO, IL 60613-5683
(773) 807-8474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
04/14/2022
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