Individual
KELLY LYNN WEDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 PLUM ST, AURORA, IL 60506-3462
(630) 945-2484
Mailing address
110 BRAEBURN RD, MONTGOMERY, IL 60538-2124
(630) 945-2484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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