Individual
MRS. KELLY L DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
619 RIVER ST, BELLEVILLE, WI 53508-9117
(608) 424-9100
Mailing address
619 RIVER ST, BELLEVILLE, WI 53508-9117
(608) 424-9100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7425-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43734400
—
WI
Enumeration date
03/31/2008
Last updated
03/31/2008
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