Individual
MS. KELLY CONLEY FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BSDH
Contact information
Practice address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(262) 896-9891
Mailing address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(262) 896-9891
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
1002571-16
WI
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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