Female

Mrs. Tanya L. Gerhard LCSW

Clinical Social Worker in Brookfield, WI(View on Map)

Full Name

Mrs. Tanya L Gerhard LCSW

NPI Number

1366459646

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/01/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

7278-123

Contact
Information

Purpose

Mailing
Location

Address

12690 W NORTH AVE
12690 W NORTH AVE

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-4636
53005-4636

Country

US
US

Telephone Number

(262) 785-1008
(262) 785-1008

Identifiers

Identifier

40915900

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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