Individual
KELLY FRIENDLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 LINCOLNWAY, VALPARAISO, IN 46383-5727
(219) 548-8727
Mailing address
607 LINCOLNWAY, VALPARAISO, IN 46383-5727
(219) 548-8727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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