Individual
SHELBY LEE KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Contact information
Practice address
6314 ODANA RD, MADISON, WI 53719-1129
(608) 434-2646
(414) 246-2524
Mailing address
6314 ODANA RD, MADISON, WI 53719-1129
(608) 434-2646
(414) 246-2524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131572
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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