MADELINE LOUISE KELLEY

EAU CLAIRE, WI
NPI1770837346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  16555-130)
Enumeration Date2012-11-05
Last Update Date2012-11-05
Business Address
MADELINE LOUISE KELLEY SAC-IT
2005 HIGHLAND AVE
EAU CLAIRE, WI 54701-4455
Phone number: 715-832-5454
Mailing Address
MADELINE LOUISE KELLEY SAC-IT
3145 URANUS AVE
EAU CLAIRE, WI 54703-0784
Phone number: 715-226-1764
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