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Individual

MS. KELLY ANN KAWCZYNSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
1420 N NORTHWEST HWY, SUITE 411, PARK RIDGE, IL 60068-1310
(708) 945-9639
Mailing address
1420 N NORTHWEST HWY, SUITE 411, PARK RIDGE, IL 60068-1310
(708) 945-9639

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012018
IL

Other

Enumeration date
12/22/2012
Last updated
12/22/2012
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