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1992999114
KATHRYN KELLY CARROLL
CHICAGO, IL
NPI
1992999114
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Former Name
KATHRYN KELLY BULLA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016164)
Enumeration Date
2007-08-30
Last Update Date
2017-06-06
Business Address
Mrs. KATHRYN KELLY CARROLL LCSW
1645 W JACKSON BLVD STE 302
CHICAGO, IL 60612-3276
Phone number: 608-438-8865
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Mailing Address
Mrs. KATHRYN KELLY CARROLL LCSW
1645 W JACKSON BLVD STE 302
CHICAGO, IL 60612-1336
Phone number: 312-563-4630
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