Individual
MR. GARY B. MOSESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5 ODANA CT, LUTHERAN SOCIAL SERVICES CLINIC, MADISON, WI 53719-1120
(608) 277-0610
(608) 270-6651
Mailing address
5 ODANA COURT, LUTHERAN SOCIAL SERVICES CLINIC, MADISON, WI 53719
(608) 277-0610
(608) 270-6651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2737-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42106400
—
WI
Enumeration date
05/17/2007
Last updated
07/09/2007
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