Individual
GAIL SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
2300 LINEVILLE RD, SUITE 200, GREEN BAY, WI 54313-8859
(920) 434-7457
(920) 434-7460
Mailing address
2300 LINEVILLE RD, SUITE 201, GREEN BAY, WI 54313-8859
(920) 434-7457
(920) 434-7460
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
610-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39737600
—
WI
Enumeration date
11/29/2006
Last updated
11/29/2011
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