JASON L LEVINE

MADISON, WI
NPI1659835270
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-28
Last Update Date2019-01-28
Business Address
JASON L LEVINE
4513 VERNON BLVD STE 100
MADISON, WI 53705-4964
Phone number: 608-236-4460
Mailing Address
JASON L LEVINE
2232 MARTIN ST
MADISON, WI 53713-1146
Phone number:
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