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1912468927
KELLY DERR
MOKENA, IL
NPI
1912468927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149016583)
Enumeration Date
2019-03-31
Last Update Date
2019-03-31
Business Address
Ms. KELLY DERR LCSW
9435 BORMET DR STE 5
MOKENA, IL 60448-7401
Phone number: 708-995-7226
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Mailing Address
Ms. KELLY DERR LCSW
425 N BROADWAY ST
COAL CITY, IL 60416-1044
Phone number: 815-584-7730
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