Kelly Grill-Cooper, MS
NPI #1164688578 in Montgomery, Illinois
Provider Information
- NPI Number
- 1164688578
- Entity Type
- Individual
- Name
- Kelly Grill-Cooper, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MS
- Enumeration Date
- Aug 5, 2008
- Last Updated
- Jun 19, 2013
Practice Location
- Address
- 3238 MARBILL FARM RD
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-3342
- Phone
- (440) 821-5772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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