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1902946049
JAMIE ELAINE KELLER
MILWAUKEE, WI
NPI
1902946049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1644)
Enumeration Date
2007-02-07
Last Update Date
2007-07-09
Business Address
Mrs. JAMIE ELAINE KELLER CADCIII
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
Mrs. JAMIE ELAINE KELLER CADCIII
W21W22956 HILLSIDE DRIVE
WAUKESHA, WI 53186
Phone number: 262-574-6951
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