Individual
MS. ANDREA SUSAN GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1220 W VLIET ST, MILWAUKEE, WI 53205-2117
(414) 257-7222
Mailing address
4507 N NEWHALL ST, SHOREWOOD, WI 53211-1528
(612) 619-0588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11041-125
WI
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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