Shannon Michelle Kelly, MSW

NPI #1043957095 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1043957095
Entity Type: Individual
Name: Shannon Michelle Kelly, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: May 19, 2022
Last Updated: May 19, 2022

Practice Location

Address: 650 S CENTER ST
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-2804
Phone: (920) 212-7820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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