KELLI LO

GRANGER, IN
NPI1750501862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  33005234A)
Enumeration Date2007-04-30
Last Update Date2007-07-08
Business Address
-- KELLI LO LSW
51564 COUNTRYSIDE DR
GRANGER, IN 46530-4255
Phone number: 574-243-3391
Mailing Address
-- KELLI LO LSW
51564 COUNTRYSIDE DR
GRANGER, IN 46530-4255
Phone number: 574-243-3391