Individual
KELSEY PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 EXECUTIVE PL STE 201, GENEVA, IL 60134-3805
(815) 223-2237
Mailing address
71 STATE ST, GUILFORD, CT 06437-2723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
09/24/2019
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