Individual
ANN M GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Mailing address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
482-124
WI
106H00000X
Marriage & Family Therapist
482-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39707500
—
WI
Enumeration date
11/29/2006
Last updated
11/29/2017
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