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Contact Information

LAURA J GJESTSON, LCSW LICENSED CLINCI
829 S IOWA ST
DODGEVILLE, WI53533
 Phone: 608-935-2838
 Fax: 608-935-9227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LAURA J GJESTSON · (Female)

NPI # 1164458626
Status Active
Credentials LCSW LICENSED CLINCI
Entity Individual
Enumeration date 06/24/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # LCSW6801123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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