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1336664705
KELLI D CANADA
MATTOON, IL
NPI
1336664705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149019506)
Enumeration Date
2017-08-07
Last Update Date
2022-07-21
Business Address
Ms. KELLI D CANADA LCSW
911 REMINGTON RD STE B
MATTOON, IL 61938-4210
Phone number: 217-234-3091
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Mailing Address
Ms. KELLI D CANADA LCSW
911 REMINGTON RD STE B
MATTOON, IL 61938-4210
Phone number: 217-234-3091
Copy
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