YEZLIN DENAE KELLY

MILWAUKEE, WI
NPI1831497114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15839-130)
Enumeration Date2011-03-10
Last Update Date2011-03-10
Business Address
-- YEZLIN DENAE KELLY SAC-IT
230 W WELLS ST STE 312
MILWAUKEE, WI 53203-1837
Phone number: 414-344-3406
Mailing Address
-- YEZLIN DENAE KELLY SAC-IT
3530 N 11TH ST
MILWAUKEE, WI 53206-3031
Phone number: 414-344-3406