MS. Carly Kitchell, MSP

NPI #1902341167 in Rock Island, Illinois

Provider Information

NPI Number: 1902341167
Entity Type: Individual
Name: MS. Carly Kitchell, MSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MSP
Enumeration Date: Dec 27, 2016
Last Updated: Dec 27, 2016

Practice Location

Address: 2701 17TH ST
City: Rock Island
State: Illinois
ZIP Code: 61201-5351
Phone: (309) 779-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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