Individual
MS. KIMBERLY L GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53201
(414) 266-2923
(414) 266-3735
Mailing address
POB 1997 MS 750, MILWAUKEE, WI 53201
(414) 266-2423
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4236123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39513800
—
WI
Enumeration date
12/08/2006
Last updated
07/08/2007
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