Search › Illinois › 1041C0700X
Kelly Larosa, LCSW
NPI 1255303830 · on the registry since 2006
Practice
- Address
- 5850 S 6th Street Rd
A
Springfield, IL 62703 - Phone
- (217) 529-5046
- Fax
- (217) 529-6154
- Organisation at this address
- Danville Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois