| NPI | 1336687995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN ANN FISHER Owner, Therapist 608-205-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8224-123) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2019-03-24 |