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1023226313
THERESA FORDE
MADISON, WI
NPI
1023226313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- THERESA FORDE MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
-- THERESA FORDE MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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