Individual
MS. SUSAN K GERSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8117
(920) 674-6113
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8117
(920) 674-6113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
548-125
WI
1041C0700X
Clinical Social Worker
Primary
3260-123
WI
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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