Individual
MRS. KELLY MARIE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29254 S WALLINGFORD RD, MANHATTAN, IL 60442-9693
(708) 825-8512
Mailing address
14933 FOUNDERS XING, HOMER GLEN, IL 60491-6712
(708) 737-7968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.020683
IL
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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