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1225120819
KELLY J DIAL
SPRINGFIELD, IL
NPI
1225120819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007784)
Enumeration Date
2006-09-29
Last Update Date
2012-12-10
Business Address
Mrs. KELLY J DIAL LCSW
215 S GRAND AVE W
SPRINGFIELD, IL 62704-3838
Phone number: 217-744-3525
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Mailing Address
Mrs. KELLY J DIAL LCSW
215 S GRAND AVE W
SPRINGFIELD, IL 62704-3838
Phone number: 217-744-3525
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