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NPI Code Detail

MEDICARE: LINDA MARIE GILBERTSON LMSW

MEDICARE: LINDA MARIE GILBERTSON LMSW
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
1101YM0800XMental Health Counselor6801064037MI

General Provider Information

NPI Number : 1386690287
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MARIE GILBERTSON LMSW
Provider Business Mailing Address
First Line : 1485 M 139
Second Line : P.O. BOX 547
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number : 269-925-0585
Fax Number : 269-927-1326
Provider Business Practice Location Address
First Line : 1485 M 139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number : 269-925-0585
Fax Number : 269-927-1326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ LINDA MARIE GILBERTSON LMSW” Practice Location

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