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1114500840
KELSEY STALLTER
CHICAGO, IL
NPI
1114500840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.023011)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
KELSEY STALLTER
443 W WRIGHTWOOD AVE APT 607
CHICAGO, IL 60614-2963
Phone number: 630-328-9674
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Mailing Address
KELSEY STALLTER
443 W WRIGHTWOOD AVE APT 607
CHICAGO, IL 60614-2963
Phone number: 630-328-9674
Copy
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