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1801621669
MARLENE DIANE VAIL
MADISON, WI
NPI
1801621669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 11373-123)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
MARLENE DIANE VAIL LCSW
1716 FORDEM AVE
MADISON, WI 53704-4604
Phone number: 608-221-3511
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Mailing Address
MARLENE DIANE VAIL LCSW
323 S LOWER GARDENS RD
FONTANA, WI 53125-1102
Phone number: 262-903-0784
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