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Organization
RIVERBIRCH THERAPY, LLC
Active
Organization
RIVERBIRCH THERAPY, LLC
Active
Other names
Riverbirch Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN MOSMAN BLOCK MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(608) 512-0461
Entity
Organization
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE B, FITCHBURG, WI 53711-5809
(608) 512-0461
(608) 298-3288
Mailing address
3606 RICHARD ST, MADISON, WI 53714-2325
(763) 639-9769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6129-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196276587
NPI
WI
Enumeration date
05/08/2018
Last updated
05/08/2018
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