Individual
CLAUDIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
72 S LA GRANGE RD STE 13, LA GRANGE, IL 60525-6319
(631) 531-0819
Mailing address
800 9TH AVE, LA GRANGE, IL 60525-2953
(630) 531-0819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017214
IL
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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