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Individual

KELLY JO DUPREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763
Mailing address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3645-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43737000
WI
Enumeration date
05/30/2008
Last updated
06/17/2013
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