Individual
MEGAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 HALL AVE, MARINETTE, WI 54143-1655
(715) 732-7700
(715) 732-7667
Mailing address
2500 HALL AVE, MARINETTE, WI 54143-1655
(715) 732-7700
(715) 732-7667
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
806370
WI
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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