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Individual

CASSIDY L GULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6121 GREEN BAY RD STE 200, KENOSHA, WI 53142-2931
(262) 864-1141
Mailing address
6121 GREEN BAY RD STE 200, KENOSHA, WI 53142-2931
(262) 864-1141

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8773-226
WI

Other

Enumeration date
01/15/2026
Last updated
01/15/2026
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