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1770837346
MADELINE LOUISE KELLEY
EAU CLAIRE, WI
NPI
1770837346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16555-130)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
-- MADELINE LOUISE KELLEY SAC-IT
2005 HIGHLAND AVE
EAU CLAIRE, WI 54701-4455
Phone number: 715-832-5454
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Mailing Address
-- MADELINE LOUISE KELLEY SAC-IT
3145 URANUS AVE
EAU CLAIRE, WI 54703-0784
Phone number: 715-226-1764
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