Gretchen M Wesche, MA LICSW

NPI #1902968308 in St Augustine, Florida

Provider Information

NPI Number: 1902968308
Entity Type: Individual
Name: Gretchen M Wesche, MA LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MA LICSW
Enumeration Date: Dec 14, 2006
Last Updated: Aug 5, 2022

Practice Location

Address: 1884 CROSS POINTE WAY
City: St Augustine
State: Florida
ZIP Code: 32092-5010
Phone: (763) 360-8023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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