John Gilane Msw Cadc III

NPI #1780724328 in Mequon, Wisconsin

Provider Information

NPI Number
1780724328
Entity Type
Organization
Organization Name
John Gilane Msw Cadc III
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 6, 2007
Last Updated
Jun 27, 2012

Practice Location

Address
10144 N PORT WASHINGTON RD STE LL-B
City
Mequon
ZIP Code
53092-5796
Phone
(262) 240-1240

Authorized Official

Name
JOHN GILANE
Title
OWNER
Phone
(262) 240-1240

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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