Individual
KELSEY BENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1971 WASHINGTON ST, GRAFTON, WI 53024-2102
(262) 377-6276
Mailing address
S77W15362 FOXTAIL CIR, MUSKEGO, WI 53150-7726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2093-226
WI
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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