Individual
MIKALE KELLEY-ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1987 W 111TH ST, CHICAGO, IL 60643-4247
(708) 580-7554
(708) 580-7554
Mailing address
1987 W 111TH ST, CHICAGO, IL 60643-4247
(708) 580-7554
(708) 580-7554
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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