Kellerman, Nicole Marie

Kellerman, Nicole Marie is an sole proprietor health care provider with primary practice located at 10 Tri Park Way , Appleton WI 54914-1658. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kellerman, Nicole Marie can be contacted via phone (920) 831-0070.

Contact Information

Primary practice address
10 Tri Park Way Appleton WI 54914-1658
Phone: (920) 831-0070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 127663.121 Wisconsin

Profile Details

NPI number 1730484296
LBN Legal business name Kellerman, Nicole Marie
Credentials CAPSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2011
Last updated Jan 14th, 2011 - about 14 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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