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1124752050
CASEY NICOLE GITTENS
KENOSHA, WI
NPI
1124752050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: WI 131551-121)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
CASEY NICOLE GITTENS
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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Mailing Address
CASEY NICOLE GITTENS
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004
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