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Organization
ATTIC CORRECTIONAL SERVCIES
Active
Organization
ATTIC CORRECTIONAL SERVCIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WAKEFIELD (DEVELOPMENT QUALITY ASSURANCE OFFIC)
(608) 223-0017
Entity
Organization
Contact information
Practice address
1699 SCHOFIELD AVE STE 116, SCHOFIELD, WI 54476-2377
(715) 355-0671
Mailing address
601 ATLAS AVE, MADISON, WI 53714-3181
(608) 223-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15641-131
WI
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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