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Individual

KELLEY F EVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
17 S RIVER ST, 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267
Mailing address
17 S RIVER ST, 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4673-125
WI

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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