Individual
KELSEY CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N BLACKHAWK AVE STE 215, MADISON, WI 53705-3357
(608) 285-2503
Mailing address
126 CRAIG AVE, MADISON, WI 53705-1338
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
683-228
WI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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