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1003191990
BRIAN LEE KELLEY
EVERGREEN PARK, IL
NPI
1003191990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 180007807)
Enumeration Date
2011-10-11
Last Update Date
2021-01-24
Business Address
MR. BRIAN LEE KELLEY LCPC
3317 W 95TH ST
EVERGREEN PARK, IL 60805-2243
Phone number: 708-529-3011
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Mailing Address
MR. BRIAN LEE KELLEY LCPC
10S141 SUFFIELD DR
DOWNERS GROVE, IL 60516-5184
Phone number: 773-316-8697
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