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Organization
COMMUNITY SUPPORT NETWORK, INC
Active
Organization
COMMUNITY SUPPORT NETWORK, INC
Active
Other names
Collaborations
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KORSOWER RAETTIG MSSW (EXECUTIVE DIRECTOR)
(608) 421-3239
Entity
Organization
Contact information
Practice address
1191 N SHERMAN AVE, MADISON, WI 53704-4234
(608) 421-3239
(608) 270-2238
Mailing address
1137 N SHERMAN AVE, MADISON, WI 53704-4234
(608) 421-3239
(608) 270-2238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3027
DEPARTMENT OF HEALTH SERVICES DQA
WI
Enumeration date
02/06/2014
Last updated
07/22/2014
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