Individual
MADELINE GEBHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
10799 FALLING WATER LN UNIT D, WOODBURY, MN 55129-5263
(323) 333-9511
Mailing address
10799 FALLING WATER LN UNIT D, WOODBURY, MN 55129-5263
(323) 333-9511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20482
MN
1041S0200X
School Social Worker
20482
MN
1041S0200X
School Social Worker
CSW.09928484
CO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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