Individual
MS. MARY ELLEN GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4465 N OAKLAND AVE, SHOREWOOD, WI 53211-1662
(414) 460-7753
Mailing address
8584 W APPLETON AVE, UNIT Y, MILWAUKEE, WI 53225-4279
(414) 460-5573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2637-123
WI
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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