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1114982451
KELLY PHIPPS MAIERITSCH
HINES, IL
NPI
1114982451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2004028685)
Enumeration Date
2006-04-19
Last Update Date
2013-02-28
Business Address
-- KELLY PHIPPS MAIERITSCH Ph.D.
5TH & ROOSEVELT RD
HINES, IL 60141
Phone number: 708-202-8387
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Mailing Address
-- KELLY PHIPPS MAIERITSCH Ph.D.
5000 S 5TH AVE
HINES, IL 60141-3030
Phone number: 708-202-8387
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