SearchWisconsin1041C0700X

Gladys Ebata, LCSW

NPI 1447567870 · on the registry since 2010 · sole proprietor

Practice

Address
27374 State Highway 21
Tomah, WI 54660
Phone
(608) 372-5819
Fax
(608) 372-0889
Organisation at this address
Ho Chunk Nation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin