Kelly M. O'hern LCSW

NPI 1174749824 - Social Worker - 1041C0700X

NPI Details
NPI 1174749824
Gender Female
Enumeration Date 04/18/2007
Last Updated 01/24/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
210 N HAMMES AVE
SUITE 103
JOLIET IL, 60435-6680, US
Phone (815) 942-6323
Fax (815) 942-6423
Business Location
1401 LAKEWOOD DR
SUITE A
MORRIS IL, 60450-3352, US
Phone (815) 942-6323
Fax (815) 942-6423
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149014050
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According to our database, Ms. Kelly M. O'hern LCSW NPI is 1174749824, taxonomy code is 1041C0700X and license number is 149014050, license state is located at Illinois. Kelly M. O'hern LCSW physically located at 210 N Hammes Ave, Joliet IL, 60435-6680. NPI Number Kelly M. O'hern LCSW has the Individual type.

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1174749824 NPI number is provided on an as is basis without warranty of any kind. 1174749824 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly M. O'hern LCSW are for informational purposes only.