Individual
KELLY C DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 251-2307
Mailing address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 251-2307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18915
WI
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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