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Organization
THE FAMILY RESOURCE GROUP
Active
Organization
THE FAMILY RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS JOSEPH VANDERMAUSE LCSW (CLINICAL SOCIAL WORKER)
(608) 575-7518
Entity
Organization
Contact information
Practice address
313 PRICE PL STE 11, MADISON, WI 53705-3250
(608) 575-7518
Mailing address
313 PRICE PL STE 11, MADISON, WI 53705-3250
(608) 575-7518
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42219100
—
WI
Enumeration date
10/31/2008
Last updated
10/31/2008
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