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1922152248
LAURA KELLY WIRTZ
JOLIET, IL
NPI
1922152248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010888)
Enumeration Date
2007-01-23
Last Update Date
2010-01-15
Business Address
-- LAURA KELLY WIRTZ lcsw
3033 W JEFFERSON ST 107
JOLIET, IL 60435-5261
Phone number: 815-773-0772
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Mailing Address
-- LAURA KELLY WIRTZ lcsw
3033 W JEFFERSON ST 107
JOLIET, IL 60435-5261
Phone number: 815-773-0772
Copy
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