Individual
DR. CAROLE KJELLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
214 12TH AVE E, ASHLAND, WI 54806-2035
(715) 685-9614
(715) 682-4821
Mailing address
214 12TH AVE E, ASHLAND, WI 54806-2035
(715) 685-9614
(715) 682-4821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
WI1988
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39703900
—
WI
Enumeration date
12/26/2006
Last updated
07/09/2007
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