Individual
KELLI WEICHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
2500 OVERLOOK TER, SOCIAL WORK SERVICE, MADISON, WI 53705-2254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127559-121
WI
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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