MS. Gladys Ebata, LCSW

NPI #1447567870 in Tomah, Wisconsin

Provider Information

NPI Number
1447567870
Entity Type
Individual
Name
MS. Gladys Ebata, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 7, 2010
Last Updated
Sep 7, 2010

Practice Location

Address
27374 STATE HIGHWAY 21
City
Tomah
ZIP Code
54660-4501
Phone
(608) 372-5819

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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