Individual
KASSANDRA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 289-1505
Mailing address
540 E GRAND AVE, BELOIT, WI 53511-6314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135140-121
WI
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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