Individual
MS. KELLY L BURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
325 IL RT 2, DIXON, IL 61021
(815) 284-6611
(815) 284-6591
Mailing address
805 E 6TH ST, STERLING, IL 61081-3824
(815) 978-4044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19700
IL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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