KELLEY STORK

PEORIA, IL
NPI1194292334
Former NameKELLEY FORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2018-10-25
Last Update Date2018-10-25
Business Address
KELLEY STORK
807 W COLUMBIA TERRACE
PEORIA, IL 61606
Phone number: 309-682-2693
Mailing Address
KELLEY STORK
389 ILLINI DRIVE
HOPEWELL, IL 61565
Phone number:
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