Organization
KELLY DUGGAN CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY KAY DUGGAN PSYD (CLINICAL PSYCHOLOGIST)
(414) 801-8700
Entity
Organization
Contact information
Practice address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(414) 801-8700
Mailing address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(414) 801-8700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2783-57
WI
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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