Individual
KELLY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 DAYTON ST., MCHENRY, IL 60050-8377
(815) 245-1147
Mailing address
1714 ORCHARD LANE, MCHENRY, IL 60050-8002
(815) 245-1147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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