Individual
KELSEY R JAGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
703 N JACKSON ST, AUBURN, IN 46706-1109
(406) 570-7004
Mailing address
703 N JACKSON ST, AUBURN, IN 46706-1109
(406) 570-7004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
07/06/2022
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