Individual
CAROLYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 2140, CHICAGO, IL 60611-2927
(312) 981-5525
(312) 664-5854
Mailing address
676 N SAINT CLAIR ST, SUITE 2140, CHICAGO, IL 60611-2927
(312) 981-5525
(312) 664-5854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011101
IL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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