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1235520180
RYAN KELLY
FLOSSMOOR, IL
NPI
1235520180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017223)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- RYAN KELLY LCSW
630 ARGYLE AVE
FLOSSMOOR, IL 60422-1202
Phone number: 309-531-7555
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Mailing Address
-- RYAN KELLY LCSW
630 ARGYLE AVE
FLOSSMOOR, IL 60422-1202
Phone number: 309-531-7555
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