Individual
JODIE LYNN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1210 FOURIER DR, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Mailing address
7827 CARIBOU CT, VERONA, WI 53593-9616
(608) 576-8008
(608) 576-8008
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128341-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128341-121
ADVANCED PRACTICE SOCIAL WORKER
WI
Enumeration date
08/25/2011
Last updated
07/08/2020
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