Organization
NORTH STAR CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA KELLY MSW (OWNER)
(414) 751-0033
Entity
Organization
Contact information
Practice address
3900 W BROWN DEER RD STE A228, MILWAUKEE, WI 53209-1220
(260) 403-7768
Mailing address
3900 W BROWN DEER RD STE A228, MILWAUKEE, WI 53209-1220
(260) 403-7768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9051-123
LICENSE
WI
Enumeration date
08/29/2022
Last updated
11/11/2022
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