Doctor Name: | MRS. CHARLENE MARIE GALD |
NPI Number: | 1225440050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 7869-123 |
Business Practice Address: | 221 W Seminary St Richland Center, WI - 535812358 |
Business Phone Number: | 6086495703 |
Business Fax Number: | 6086476611 |
Mailing Address: | 221 W Seminary St, RICHLAND CENTER |
State: | WI |
Postal Code: | 535812358 |
Phone Number: | 6086495703 |
Fax Number: | 6086476611 |
NPI Enumeration Date: | 05/28/2014 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7869-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |