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1548711179
KELLY HARRIS
URBANA, IL
NPI
1548711179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018644)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- KELLY HARRIS LCSW
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-6636
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Mailing Address
-- KELLY HARRIS LCSW
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3311
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