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1215483979
KELLY FETHERLING
ELGIN, IL
NPI
1215483979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018591)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- KELLY FETHERLING LCSW
6912 S MAIN ST.
ELGIN, IL 60120
Phone number: 312-241-0554
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Mailing Address
-- KELLY FETHERLING LCSW
1111 CLOVER HILL LN
ELGIN, IL 60120-2395
Phone number: 312-241-0554
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