Individual
KELSEY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
(920) 882-5495
Mailing address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
(920) 882-5495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
09/15/2023
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