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1831497114
YEZLIN DENAE KELLY
MILWAUKEE, WI
NPI
1831497114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15839-130)
Enumeration Date
2011-03-10
Last Update Date
2011-03-10
Business Address
-- YEZLIN DENAE KELLY SAC-IT
230 W WELLS ST STE 312
MILWAUKEE, WI 53203-1837
Phone number: 414-344-3406
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Mailing Address
-- YEZLIN DENAE KELLY SAC-IT
3530 N 11TH ST
MILWAUKEE, WI 53206-3031
Phone number: 414-344-3406
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