Jake Clifton Kelow III, LSW/CADC/ATE/COPD I

NPI #1033981089 in Maywood, Illinois

Provider Information

NPI Number: 1033981089
Entity Type: Individual
Name: Jake Clifton Kelow III, LSW/CADC/ATE/COPD I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW/CADC/ATE/COPD I
Enumeration Date: Oct 24, 2023
Last Updated: Oct 24, 2023

Practice Location

Address: 411 MADISON ST
City: Maywood
State: Illinois
ZIP Code: 60153-2136
Phone: (708) 450-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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