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Individual

MS. LYNN JOY GAUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW

Contact information

Practice address
740 NORTH PILGRIM PARKWAY, SUITE 206, ELM GROVE, WI 53122
(414) 273-2220
(414) 273-2223
Mailing address
1524 N FARWELL AVE, MILWAUKEE, WI 53202-2329
(414) 273-2220
(414) 273-2223

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
768-123
WI
106H00000X
Marriage & Family Therapist
27-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
395649000
WI
Enumeration date
02/06/2007
Last updated
11/21/2008
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