Individual
MRS. JUDITH ANN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW
Contact information
Practice address
4633 WASHINGTON RD, KENOSHA, WI 53144-4220
(262) 652-7222
(262) 652-1734
Mailing address
4633 WASHINGTON RD, KENOSHA, WI 53144-4220
(262) 652-7222
(262) 652-1734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
781 -123
WI
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740226042
—
WI
01
—
306112775
UNITED BEHAVIORAL HEALTH
WI
01
—
935558
PHCS
WI
Enumeration date
06/22/2006
Last updated
03/09/2016
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