Individual
SUZANNE GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
111 E WASHINGTON ST, WEST BEND, WI 53095-2571
(262) 338-2717
(262) 338-9767
Mailing address
111 E WASHINGTON ST, WEST BEND, WI 53095-2571
(262) 338-2717
(262) 338-9767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3261-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39253700
—
WI
Enumeration date
12/26/2006
Last updated
11/06/2017
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