Individual
YEZLIN DENAE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
230 W WELLS ST STE 312, MILWAUKEE, WI 53203-1837
(414) 344-3406
Mailing address
3530 N 11TH ST, MILWAUKEE, WI 53206-3031
(414) 344-3406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15839-130
WI
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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