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1265714992
HEATHER H DOUGLAS
MADISON, WI
NPI
1265714992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 475-226)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
-- HEATHER H DOUGLAS MS, CTRS,LPC
6502 GRAND TETON PLZ SUITE 203
MADISON, WI 53719-1047
Phone number: 608-827-7220
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Mailing Address
-- HEATHER H DOUGLAS MS, CTRS,LPC
4410 MINERAL POINT RD
MADISON, WI 53705-5045
Phone number: 608-358-4977
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MADISON ART THERAPY LLC