Individual
MISS KELSIE SUE ELEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W PASEWALK AVE STE A, NORFOLK, NE 68701-5657
(402) 500-6870
Mailing address
314 W HUGHSON ST, RANDOLPH, NE 68771-9432
(402) 297-0842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
04/22/2024
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