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Individual

ELYSSA ANNE KENAGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7653
Mailing address
5101 N LOVERS LANE RD APT 25, MILWAUKEE, WI 53225-3744
(414) 426-1959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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