Individual
KELLY RENNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
111 LIONS DR STE 210, BARRINGTON, IL 60010-3175
(847) 865-4125
Mailing address
308 TUXEDO LN, CARY, IL 60013-1714
(847) 721-0172
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150107416
IL
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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