KELLY J HAGERTY

APPLETON, WI
NPI1942729025
Former NameKELLY J ERICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: WI  9211-123)
Additional Taxonomies104100000X Social Worker
(Licence: WI  130696121)
Enumeration Date2017-09-11
Last Update Date2019-05-29
Business Address
KELLY J HAGERTY LCSW
442 N WESTHILL BLVD
APPLETON, WI 54914-5715
Phone number: 920-750-7000
Mailing Address
KELLY J HAGERTY LCSW
444 N WESTHILL BLVD
APPLETON, WI 54914-5715
Phone number: 920-750-7000