Individual
CAROL J GATTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1521-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952367161
—
WI
Enumeration date
04/25/2006
Last updated
11/17/2020
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