North, Kelly Ann

North, Kelly Ann is an sole proprietor health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. North, Kelly Ann can be contacted via phone (920) 674-8196.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Phone: (920) 674-8196
Fax: (920) 674-6113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8042-123 Wisconsin

Profile Details

NPI number 1760783856
LBN Legal business name North, Kelly Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2010
Last updated Aug 20th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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