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Individual

CAITLIN M CARMODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1496 BELLEVUE ST STE 101, GREEN BAY, WI 54311-4205
(920) 784-2644
(920) 784-2655
Mailing address
1496 BELLEVUE ST STE 101, GREEN BAY, WI 54311-4205
(920) 784-2644
(920) 784-2655

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
WI

Other

Enumeration date
09/29/2016
Last updated
09/29/2016
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