Individual
KYLIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MFT
Contact information
Practice address
2501 HANLEY RD STE 201, HUDSON, WI 54016-8786
(534) 544-5247
Mailing address
2501 HANLEY RD STE 201, HUDSON, WI 54016-8786
(534) 544-5247
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1097-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13546470
—
WI
Enumeration date
04/21/2015
Last updated
08/09/2022
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