Individual
KELSEY PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W BROWN DEER RD, BROWN DEER, WI 53209-1220
(414) 540-2170
Mailing address
32740 LIPAROTO DR, ROCKWOOD, MI 48173-9667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3019-226
MI
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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