Individual
CAITLIN G. MOSMAN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE B, FITCHBURG, WI 53711-5809
(608) 512-0461
Mailing address
2961 YARMOUTH GREENWAY DR STE B, FITCHBURG, WI 53711-5809
(608) 512-0461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6129-125
WI
101YP2500X
Professional Counselor
Primary
6129-125
WI
Other
Enumeration date
06/17/2012
Last updated
05/05/2018
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