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Individual

MISS NADINE MAY GILBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
763 MILFORD ST, FRONTIER MENTAL HEALTH CLINIC, WATERTOWN, WI 53094-6021
(920) 206-6115
(920) 206-6106
Mailing address
3695 DOMINIC DR, BROOKFIELD, WI 53045-1414
(262) 781-4434

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
783123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40988800
WI
Enumeration date
08/05/2006
Last updated
07/08/2007
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