Individual
CARLEE RENEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5631
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149026898
IL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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