Individual
JAMIE L GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MSW, LCSW
Contact information
Practice address
703 N 9TH ST, SHEBOYGAN, WI 53081-4515
(920) 917-1523
Mailing address
703 N 9TH ST, SHEBOYGAN, WI 53081-4515
(715) 842-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12572-123
WI
Other
Enumeration date
04/29/2025
Last updated
09/18/2025
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