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1508226424
KELLY FABERA
DE PERE, WI
NPI
1508226424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 8448-123)
Enumeration Date
2016-03-04
Last Update Date
2016-03-04
Business Address
-- KELLY FABERA LCSW
1511 W MAIN AVE SUITE 100
DE PERE, WI 54115-9556
Phone number: 920-403-7600
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Mailing Address
-- KELLY FABERA LCSW
PO BOX 13156
GREEN BAY, WI 54307-3156
Phone number: 920-403-7600
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