Lydia Kelly

NPI #1225445018 in Champaign, Illinois

Provider Information

NPI Number: 1225445018
Entity Type: Individual
Name: Lydia Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 14, 2014
Last Updated: Jul 14, 2014

Practice Location

Address: 801 N WALNUT ST
City: Champaign
State: Illinois
ZIP Code: 61820-3055
Phone: (217) 373-2430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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