KELLY WISE

CHICAGO, IL
NPI1225436777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA 6888)
Enumeration Date2014-12-16
Last Update Date2014-12-16
Business Address
-- KELLY WISE
670 W WAYMAN ST APT 1905
CHICAGO, IL 60661-1703
Phone number: 352-216-4820
Mailing Address
-- KELLY WISE
670 W WAYMAN ST APT 1905
CHICAGO, IL 60661-1703
Phone number: 352-216-4820
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