Individual
SARA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
3900 W BROWN DEER RD STE A228, BROWN DEER, WI 53209-1220
(260) 403-7768
Mailing address
3900 W BROWN DEER RD STE A228, BROWN DEER, WI 53209-1220
(260) 403-7768
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128001-121
WI
Other
Enumeration date
10/19/2010
Last updated
11/11/2022
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