Individual
KELSEY MCNAMEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 S MADISON ST # 580, APPLETON, WI 54915-1800
(920) 738-2000
Mailing address
3327 N CASALOMA DR UNIT 151, APPLETON, WI 54913-7914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130958-121
WI
1041C0700X
Clinical Social Worker
Primary
9815
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098112
—
WI
Enumeration date
10/21/2019
Last updated
02/08/2023
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