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Individual

DR. JEFFREY L GARBELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
108 N LINCOLN AVE, BEAVER DAM, WI 53916
(920) 887-8751
Mailing address
1508 E MAIN ST, WATERTOWN, WI 53094
(920) 324-1154

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3643125
WI
103T00000X
Psychologist
Primary
2736057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41001600
WI
Enumeration date
07/07/2006
Last updated
09/12/2008
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