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1871967190
LAURIE KELLY
WAUKEGAN, IL
NPI
1871967190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 23587)
Enumeration Date
2015-11-24
Last Update Date
2015-11-24
Business Address
-- LAURIE KELLY CADC
1113 W GREENWOOD AVE
WAUKEGAN, IL 60087-4908
Phone number: 847-244-4434
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Mailing Address
-- LAURIE KELLY CADC
1113 W GREENWOOD AVE
WAUKEGAN, IL 60087-4908
Phone number: 847-244-4434
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