Individual
GERALYN A SCHWALENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2607 N GRANDVIEW BLVD, SUITE 110, WAUKESHA, WI 53188-1686
(262) 313-8339
(262) 910-1653
Mailing address
2607 N GRANDVIEW BLVD, SUITE 110, WAUKESHA, WI 53188-1686
(262) 313-8339
(262) 910-1653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8408-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000044835
—
WI
01
—
K400276582
MEDICARE PTAN
WI
Enumeration date
01/10/2012
Last updated
04/05/2016
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