Individual
KELSEY SWENSEN KICKBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2201 FERRY ST, LAFAYETTE, IN 47904-3047
(765) 446-9898
Mailing address
2201 FERRY ST, LAFAYETTE, IN 47904-3047
(657) 446-9898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
09/29/2020
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