Individual
MISS GABRIELLE GERMAINE KOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Contact information
Practice address
25 KESSEL CT, SUITE 200, MADISON, WI 53711-6227
(608) 278-8200
(608) 278-8204
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15582
WI
1041C0700X
Clinical Social Worker
Primary
7640
WI
Other
Enumeration date
11/14/2008
Last updated
10/10/2012
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