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NPI Code Detail

MEDICARE: GINA YAUCK

MEDICARE: GINA YAUCK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8145-123WI

General Provider Information

NPI Number : 1861819534
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA YAUCK
Provider Business Mailing Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1021
Provider Business Practice Location Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2014
Last Update Date : 03/19/2014

Similar Medicare Providers

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1467723247 — DR. VANESSA HINTZ PSY.D.
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1316384126 — LAUREN DAMAI LCSW
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1487105524 — MR. ROBERT LEE ABERCROMBIE JR. MS. LPC
Practice Location Address:
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Directions to “ GINA YAUCK ” Practice Location

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