Individual
LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 RAYOVAC DR, MADISON, WI 53711
(608) 520-0846
Mailing address
700 RAYOVAC DR, MADISON, WI 53711
(414) 801-3889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11117-123
WI
Other
Enumeration date
07/28/2020
Last updated
08/31/2023
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