Individual
KRISTINE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.S.W
Contact information
Practice address
319 SETH CIR, MADISON, WI 53716-2120
(608) 345-3552
Mailing address
319 SETH CIR, MADISON, WI 53716-2120
(608) 345-3552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2437-123
WI
1041C0700X
Clinical Social Worker
Primary
2437-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39657600
—
WI
Enumeration date
02/12/2007
Last updated
09/02/2011
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