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1598141061
BRANNEN CLARK
MADISON, WI
NPI
1598141061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-06
Last Update Date
2016-08-19
Business Address
-- BRANNEN CLARK MSW
802 E GORHAM ST
MADISON, WI 53703-1524
Phone number: 608-280-4700
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Mailing Address
-- BRANNEN CLARK MSW
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number:
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