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1427388115
KELLY NOLEN
CHICAGO, IL
NPI
1427388115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010474)
Enumeration Date
2010-01-03
Last Update Date
2010-01-03
Business Address
-- KELLY NOLEN LCSW, Type 73
132 E 79TH ST
CHICAGO, IL 60619-2302
Phone number: 773-487-0515
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Mailing Address
-- KELLY NOLEN LCSW, Type 73
6521 BRIDLE PATH DR
MATTESON, IL 60443-3343
Phone number: 708-833-7841
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