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1003221045
KELLY LYNNE CANAVAN
CRYSTAL LAKE, IL
NPI
1003221045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 180.009124)
Enumeration Date
2014-06-28
Last Update Date
2023-08-17
Business Address
MS. KELLY LYNNE CANAVAN LCPC
650 E TERRA COTTA AVENUE UNIT 103
CRYSTAL LAKE, IL 60014-3654
Phone number: 815-979-2580
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Mailing Address
MS. KELLY LYNNE CANAVAN LCPC
650 E TERRA COTTA AVENUE UNIT 103
CRYSTAL LAKE, IL 60014-3654
Phone number: 815-979-2580
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