SAMANTHA ANNE KELLY

DIXON, IL
NPI1245465699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-05-28
Last Update Date2009-05-28
Business Address
-- SAMANTHA ANNE KELLY BAMHP
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
-- SAMANTHA ANNE KELLY BAMHP
114 E CHAMBERLIN ST
DIXON, IL 61021-2134
Phone number: 815-284-6611