KAITLYN MELLOM

MADISON, WI
NPI1871272609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  10170-123)
Enumeration Date2023-07-18
Last Update Date2023-07-18
Business Address
KAITLYN MELLOM LCSW
5534 MEDICAL CIR
MADISON, WI 53719-1202
Phone number: 608-274-0355
Mailing Address
KAITLYN MELLOM LCSW
5534 MEDICAL CIR
MADISON, WI 53719-1202
Phone number: 608-212-6965
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