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KELLY DOUGLAS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1093541831Individual
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Contact & Hours
- Address
- 910 HILLSIDE DR
JEFFERSON, WI 53549 - Phone
- (920) 650-0027
Quick Facts
- NPI
- 1093541831
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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