Elizabeth Kelly
Clinical Social Worker in Brookfield, WI(View on Map)
Full Name
Elizabeth Kelly
NPI Number
1093409179
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/02/2023
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
10130123
Contact
Information
Purpose
Mailing
Location
Address
1235 PRAIRIE CREEK BLVD UNIT 208
16535 W BLUEMOUND RD STE 200
City
Oconomowoc
Brookfield
State
WI
WI
Postal Code
53066-8686
53005-5906
Country
US
US
Telephone Number
N/A
(262) 789-1191
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/02/2023
Provider Address
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