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1821743857
KELLY JEAN FITZGERALD
SWANSEA, IL
NPI
1821743857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MO 2001008061)
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
Ms. KELLY JEAN FITZGERALD LPC
132 LAKE LORRAINE DR
SWANSEA, IL 62226-2492
Phone number: 618-420-6260
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Mailing Address
Ms. KELLY JEAN FITZGERALD LPC
132 LAKE LORRAINE DR
SWANSEA, IL 62226-2492
Phone number: 618-420-6260
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