Individual
MS. JANE ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1216 N PROSPECT AVE, MILWAUKEE, WI 53202-3014
(414) 271-9272
(414) 271-1299
Mailing address
1216 N PROSPECT AVE, MILWAUKEE, WI 53202-3014
(414) 271-9272
(414) 271-1299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
598-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391959004014
BLUE CROSS BLUE SHIELD
WI
Enumeration date
07/31/2006
Last updated
06/27/2014
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