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1265554430
ELKHART PSYCHOLOGICAL SERVICES, LLC
MONONA, WI
NPI
1265554430
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Entity Type
Organization
Authorized Contact
LAWRENCE MANDT
Owner
608-223-9767
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 1610)
Enumeration Date
2007-04-06
Last Update Date
2008-04-20
Business Address
ELKHART PSYCHOLOGICAL SERVICES, LLC
6000 MONONA DR SUITE 203
MONONA, WI 53716-3931
Phone number: 608-223-9767
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Mailing Address
ELKHART PSYCHOLOGICAL SERVICES, LLC
6000 MONONA DR SUITE 203
MONONA, WI 53716-3931
Phone number: 608-223-9767
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