Individual
THERAN GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
Mailing address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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