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1326352881
KELLY JO KNUTSON
BLOOMINGTON, IL
NPI
1326352881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.007927)
Enumeration Date
2010-07-27
Last Update Date
2021-11-19
Business Address
Dr. KELLY JO KNUTSON Psy.D.
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704-6071
Phone number: 309-706-3190
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Mailing Address
Dr. KELLY JO KNUTSON Psy.D.
1770 SOUTH RANDALL ROAD STE: A # 179
GENEVA, IL 60134-0603
Phone number: 309-313-3789
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