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1275742769
SUSAN JEAN MACHKOVITZ
MADISON, WI
NPI
1275742769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: WI 2025)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. SUSAN JEAN MACHKOVITZ Ph.D.
317 KNUTSON DR
MADISON, WI 53704-1133
Phone number: 608-301-8246
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Mailing Address
Dr. SUSAN JEAN MACHKOVITZ Ph.D.
147 WARREN ST APT A
BEAVER DAM, WI 53916-3083
Phone number: 920-885-4820
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