KERRICK KILEY

DANVILLE, IL
NPI1609228766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  30837)
Enumeration Date2016-07-12
Last Update Date2016-07-12
Business Address
-- KERRICK KILEY CADC
120 N VERMILION ST
DANVILLE, IL 61832-4709
Phone number: 217-274-7336
Mailing Address
-- KERRICK KILEY CADC
120 N VERMILION ST
DANVILLE, IL 61832-4709
Phone number: 217-274-7336
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