Individual
KYLE EGERDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6709 RAYMOND RD STE 174, MADISON, WI 53719-3943
(608) 205-8587
Mailing address
6709 RAYMOND RD STE 174, MADISON, WI 53719-3943
(608) 205-8587
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
06/18/2020
Last updated
06/10/2024
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