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1760691455
KACI MARIE WELLS
OLNEY, IL
NPI
1760691455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146-007-459)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- KACI MARIE WELLS
800 E LOCUST ST
OLNEY, IL 62450-2553
Phone number: 618-395-6099
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Mailing Address
-- KACI MARIE WELLS
2359 N BOTTOMS RD
NOBLE, IL 62868-2612
Phone number: 618-723-2237
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