Individual
CERESE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-7845
(412) 864-9141
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-7845
(312) 864-9141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.008384
IL
1041C0700X
Clinical Social Worker
Primary
149008384
IL
Other
Enumeration date
05/07/2009
Last updated
03/17/2018
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