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Individual

DELORES FAYE KESSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
301 E KENT ST, WAUSAU, WI 54403-6900
(715) 842-3913
Mailing address
1701 TALL OAKS DR, WAUSAU, WI 54403-8120

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2526-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39286300
WI
Enumeration date
01/09/2007
Last updated
07/08/2007
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