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1396801064
MASON LOUIS KELLY
CHICAGO, IL
NPI
1396801064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149011810)
Enumeration Date
2006-12-28
Last Update Date
2016-12-01
Business Address
Mr. MASON LOUIS KELLY LCSW
8553 S STONY ISLAND AVE FL 1
CHICAGO, IL 60617-2249
Phone number: 773-972-3577
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Mailing Address
Mr. MASON LOUIS KELLY LCSW
8553 S STONY ISLAND AVE FL 1
CHICAGO, IL 60617-2249
Phone number: 773-972-3577
Copy
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