Individual
DEBRA K MINKSY-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8800 S 102ND ST, SUITE 103, FRANKLIN, WI 53132-7702
(414) 858-1014
Mailing address
7394 S HEATHERIDGE CT, FRANKLIN, WI 53132-8317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6558-123
WI
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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