MRS. Mary Jean Gonwa, LCSW

NPI #1477661767 in West Bend, Wisconsin

Provider Information

NPI Number
1477661767
Entity Type
Individual
Name
MRS. Mary Jean Gonwa, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LCSW
Enumeration Date
Aug 27, 2006
Last Updated
Oct 5, 2016

Practice Location

Address
279 S 17TH AVE
Address 2
SUITE 10
ZIP Code
53095-3001
Phone
(262) 306-9317

Specialties & Taxonomy Codes

Specialty
Social Worker

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