Fabera, Kelly
Fabera, Kelly is an individual health care provider with primary practice located at 1511 W Main Ave Suite 100, De Pere WI 54115-9556. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fabera, Kelly can be contacted via phone (920) 403-7600.Contact Information
Primary practice address
1511 W Main Ave Suite 100
De Pere WI 54115-9556
Phone: (920) 403-7600
Fax: (920) 403-7360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8448-123 | Wisconsin |
Profile Details
| NPI number | 1508226424 |
|---|---|
| LBN Legal business name | Fabera, Kelly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2016 |
| Last updated | Mar 4th, 2016 - about 8 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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