KELLY J JODAR

SHEBOYGAN, WI
NPI1114225216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15433132)
Enumeration Date2011-03-14
Last Update Date2011-03-14
Business Address
-- KELLY J JODAR CSAC
2842 S BUSINESS DR
SHEBOYGAN, WI 53081-6518
Phone number: 262-549-6600
Mailing Address
-- KELLY J JODAR CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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