Individual
KJERSTIN SUSAN NELSON GURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSW
Contact information
Practice address
700 REGENT ST STE 300, MADISON, WI 53715-2634
(608) 567-4465
Mailing address
5437 DAHLEN DR, MADISON, WI 53705-1339
(414) 305-9745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8424-123
WI
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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