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1134263999
KELLY VINEHOUT
WOODSTOCK, IL
NPI
1134263999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006683)
Enumeration Date
2007-02-16
Last Update Date
2015-08-31
Business Address
Dr. KELLY VINEHOUT PsyD
1090 MCCONNELL RD
WOODSTOCK, IL 60098-7310
Phone number: 815-245-6669
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Mailing Address
Dr. KELLY VINEHOUT PsyD
PO BOX 1861
WOODSTOCK, IL 60098-1861
Phone number: 815-245-6669
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