Individual
KELAH FOREST HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3365 S 103RD ST STE 100, MILWAUKEE, WI 53227-4162
(414) 321-3951
(414) 321-8307
Mailing address
2450A N DOUSMAN ST, MILWAUKEE, WI 53212-3040
(715) 419-0956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11933-123
WI
Other
Enumeration date
11/11/2024
Last updated
11/12/2024
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