Individual
JENNIFER GULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2380
(262) 687-2495
Mailing address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2380
(262) 687-2495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8402
WI
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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