Individual
GINA M MOEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADCI
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13113
WI
Other
Enumeration date
10/26/2005
Last updated
03/19/2008
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