| NPI | 1881710200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JEAN MURNANE Director 608-784-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 4904-120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 3327) |
| 1041C0700X Social Worker, Clinical (Licence: WI 2008-123) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 202) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 325-124) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |