Individual
MISS KELSEY NICOLE COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2269 N KEDZIE BLVD APT 1, CHICAGO, IL 60647-2591
(312) 819-7381
(312) 428-3093
Mailing address
4137 MAGNOLIA AVE APT 4, SAINT LOUIS, MO 63110-3946
(630) 310-4446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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