Individual
KELSEY PENKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 PRICE PL STE 204, MADISON, WI 53705-3262
(715) 254-5976
Mailing address
313 PRICE PL STE 204, MADISON, WI 53705-3262
(715) 254-5976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132978
WI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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