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1386089555
RENA BETH KORNBLUM
MADISON, WI
NPI
1386089555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 2-37)
Enumeration Date
2013-05-01
Last Update Date
2013-05-01
Business Address
Ms. RENA BETH KORNBLUM MCAT, BC-DMT, DTRL
16 N HANCOCK ST
MADISON, WI 53703-2802
Phone number: 608-251-0908
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Mailing Address
Ms. RENA BETH KORNBLUM MCAT, BC-DMT, DTRL
16 N HANCOCK ST
MADISON, WI 53703-2802
Phone number: 608-251-0908
Copy
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