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1447794763
KELLY JEAN WYDRA
DOWNERS GROVE, IL
NPI
1447794763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180.007933)
Enumeration Date
2016-12-05
Last Update Date
2016-12-05
Business Address
Mrs. KELLY JEAN WYDRA L.C.P.C., C.A.D.C.
4923 MAIN ST
DOWNERS GROVE, IL 60515-3654
Phone number: 815-651-1983
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Mailing Address
Mrs. KELLY JEAN WYDRA L.C.P.C., C.A.D.C.
1223 RHODES LN
NAPERVILLE, IL 60540-0341
Phone number: 815-651-1983
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