Individual
WISTERIA LYN GUNNINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3530 N COUNTY HIGHWAY F, JANESVILLE, WI 53545
(608) 290-9195
Mailing address
1042 EDWARDS ST, DELAVAN, WI 53115-1900
(262) 725-1199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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