Organization
NANCYKKINLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY KERR KINLEY LCSW (THERAPIST)
(309) 945-7969
Entity
Organization
Contact information
Practice address
105 HILLTOP ST, COLONA, IL 61241-8819
(309) 945-7969
(309) 441-6085
Mailing address
105 HILLTOP ST, COLONA, IL 61241-8819
(309) 945-7969
(309) 441-6085
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
149.010286
IL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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