KELLY L LENZ

PEORIA, IL
NPI1104141688
Former NameKELLY L PRANKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
-- KELLY L LENZ A.T.R.
2603 S HIGH MEADOW DR
PEORIA, IL 61607-1415
Phone number: 309-256-6981
Mailing Address
-- KELLY L LENZ A.T.R.
2603 S HIGH MEADOW DR
PEORIA, IL 61607-1415
Phone number: 309-256-6981