Kelly Jean Witt-Erickson, ICSW CPC

NPI #1801106265 in Phillips, Wisconsin

Provider Information

NPI Number: 1801106265
Entity Type: Individual
Name: Kelly Jean Witt-Erickson, ICSW CPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: ICSW CPC
Enumeration Date: Oct 19, 2010
Last Updated: Oct 19, 2010

Practice Location

Address: 548 NORTH LAKE AVENUE
City: Phillips
State: Wisconsin
ZIP Code: 54555
Phone: (715) 339-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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