Individual
ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 789-1191
Mailing address
1235 PRAIRIE CREEK BLVD UNIT 208, OCONOMOWOC, WI 53066-8686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10130123
WI
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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