MR. Kelly Dewane

NPI #1134566094 in Mchenry, Illinois

Provider Information

NPI Number: 1134566094
Entity Type: Individual
Name: MR. Kelly Dewane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 31, 2013
Last Updated: May 31, 2013

Practice Location

Address: 4001 W DAYTON ST
City: Mchenry
State: Illinois
ZIP Code: 60050-8377
Phone: (815) 338-7360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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