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1477905966
KELLY J MCCORMICK
BOURBONNAIS, IL
NPI
1477905966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.013702)
Enumeration Date
2016-07-07
Last Update Date
2019-05-16
Business Address
Mrs. KELLY J MCCORMICK M.H.S., CCC-SLP/L
1359 PLUM CREEK DR
BOURBONNAIS, IL 60914-1533
Phone number: 815-955-8577
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Mailing Address
Mrs. KELLY J MCCORMICK M.H.S., CCC-SLP/L
1359 PLUM CREEK DR
BOURBONNAIS, IL 60914-1533
Phone number: 815-955-8577
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