KELLIE ELAINE DEITRICH

REEDSBURG, WI
NPI1376295683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WI  5124-226)
Enumeration Date2022-01-19
Last Update Date2022-01-19
Business Address
KELLIE ELAINE DEITRICH MS
2155 E MAIN ST
REEDSBURG, WI 53959-9440
Phone number: 608-415-9956
Mailing Address
KELLIE ELAINE DEITRICH MS
800 MARY AVE
REEDSBURG, WI 53959-1119
Phone number: 608-415-7187