Individual
KEELIN PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
9433 COUNTY RD J, MINOCQUA, WI 54548-9318
(715) 356-5377
(715) 356-5378
Mailing address
PO BOX 1550, RHINELANDER, WI 54501-1550
(715) 356-5377
(715) 356-5378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128381-121
WI
Other
Enumeration date
01/29/2014
Last updated
02/11/2014
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