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1972995439
KELLIE HAVENGA
LAKE IN THE HILLS, IL
NPI
1972995439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.012101)
Enumeration Date
2015-02-20
Last Update Date
2015-02-20
Business Address
-- KELLIE HAVENGA
1301 PYOTT RD SUITE 109
LAKE IN THE HILLS, IL 60156-9794
Phone number: 847-829-0922
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Mailing Address
-- KELLIE HAVENGA
1301 PYOTT RD SUITE 109
LAKE IN THE HILLS, IL 60156-9794
Phone number:
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