Individual
MEGAN L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
8670 210TH ST W, LAKEVILLE, MN 55044-7000
(800) 438-1772
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(262) 345-5533
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3960
MN
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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