Individual
GAIL ANNE ROTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1101 N ROYAL AVE, SUITE B, EVANSVILLE, IN 47715-7845
(812) 402-0020
Mailing address
1101 N ROYAL AVE, SUITE B, EVANSVILLE, IN 47715-7845
(812) 402-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006783A
IN
1041C0700X
Clinical Social Worker
3776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000868246
ANTHEM
—
01
—
12664050
CAQH
IN
Enumeration date
03/21/2014
Last updated
08/14/2014
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