Individual
KELLY L LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.R.
Contact information
Practice address
2603 S HIGH MEADOW DR, PEORIA, IL 61607-1415
(309) 256-6981
Mailing address
2603 S HIGH MEADOW DR, PEORIA, IL 61607-1415
(309) 256-6981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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