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Individual
KELLY RENNELS
Active
Individual
KELLY RENNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150107416
IL
1041C0700X
Clinical Social Worker
Primary
149041116
IL
Other
Enumeration date
04/18/2022
Last updated
06/08/2026
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