GERALD J GIBCKE

MENOMONIE, WI
NPI1548479736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1887132)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- GERALD J GIBCKE CSAC
320 21ST ST N
MENOMONIE, WI 54751-2228
Phone number: 715-235-4537
Mailing Address
-- GERALD J GIBCKE CSAC
208 WISCONSIN ST N APT 213
HUDSON, WI 54016-1063
Phone number: 715-386-1399
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