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1013068816
KAVITA CARLSON
GREEN BAY, WI
NPI
1013068816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 1099)
Enumeration Date
2007-01-16
Last Update Date
2016-09-16
Business Address
-- KAVITA CARLSON LCSW
2680 VERNON DR
GREEN BAY, WI 54304-5374
Phone number: 920-496-4700
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Mailing Address
-- KAVITA CARLSON LCSW
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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