Individual
ANDREA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 GISHOLT DR, SUITE 209, MONONA, WI 53713-4835
(608) 285-9101
Mailing address
6400 GISHOLT DR, SUITE 209, MONONA, WI 53713-4835
(608) 285-9101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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