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1063533743
JENNIFER KELLY
CHICAGO, IL
NPI
1063533743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-04-02
Last Update Date
2009-04-28
Business Address
Mrs. JENNIFER KELLY
1212 N LASALLE ST APT 1505
CHICAGO, IL 60610-8037
Phone number: 708-476-0142
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Mailing Address
Mrs. JENNIFER KELLY
1212 N LASALLE ST APT 1505
CHICAGO, IL 60610-8037
Phone number: 708-476-0142
Copy
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