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Organization
EDELWEISS BEHAVIORAL HEALTH LLC
Active
Organization
EDELWEISS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA AUFDERHAAR LPC (OWNER/LPC)
(608) 695-0674
Entity
Organization
Contact information
Practice address
6402 ODANA RD, MADISON, WI 53719-1123
(608) 695-0674
Mailing address
6402 ODANA RD, MADISON, WI 53719-1123
(608) 695-0674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
E045838
WI
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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