Individual
KAYLA UPHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1366 APPLETON RD, MENASHA, WI 54952-1504
(920) 843-8980
Mailing address
505 S STORY ST, APPLETON, WI 54914-5307
(920) 740-2899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4032-226
WI
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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