Individual
ISABEL GEORGIANE GREGERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33770 CARRIER RD, BAYFIELD, WI 54814-4913
(914) 588-9431
Mailing address
PO BOX 994, BAYFIELD, WI 54814-0994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021879
IL
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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