Individual
MRS. PATRICIA ANN GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7084
(608) 280-7204
Mailing address
5517 PHEASANT HILL RD, MONONA, WI 53716-3115
(608) 222-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1472-121
WI
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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