Individual
MS. VICTORIA A GOSSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3311 PACKERLAND DR, SUITE A #8, DE PERE, WI 54115-9552
(920) 360-9194
Mailing address
3311 PACKERLAND DR, SUITE A #8, DE PERE, WI 54115-9552
(920) 360-9194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
802 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39625900
—
WI
Enumeration date
01/19/2007
Last updated
08/28/2014
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