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1942656814
KELLY HOLTZ
CHICAGO, IL
NPI
1942656814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL H43250190820)
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
-- KELLY HOLTZ
1544 W CHESTNUT ST APT. 2F
CHICAGO, IL 60642-5201
Phone number: 773-510-9465
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Mailing Address
-- KELLY HOLTZ
1544 W CHESTNUT ST APT. 2F
CHICAGO, IL 60642-5201
Phone number: 773-510-9465
Copy
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