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1891385266
KELSEY MOON
SHAWANO, WI
NPI
1891385266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 4852-226)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
KELSEY MOON MA, LPC-IT
W7327 ANDERSON AVE
SHAWANO, WI 54166-1143
Phone number: 715-526-4700
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Mailing Address
KELSEY MOON MA, LPC-IT
W7327 ANDERSON AVE
SHAWANO, WI 54166-1143
Phone number: 715-524-6882
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