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1548872765
KELLY KENDRICKS
MADISON, WI
NPI
1548872765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 4714-226)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
Mr. KELLY KENDRICKS
2002 ATWOOD AVE STE 225
MADISON, WI 53704-5382
Phone number: 608-416-5245
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Mailing Address
Mr. KELLY KENDRICKS
111 ACKER CT
VERONA, WI 53593-2251
Phone number: 608-609-6761
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