Organization
THE FAMILY RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS JOSEPH VANDERMAUSE LCSW (CLINICAL SOCIAL WORKER)
(608) 575-7518
Entity
Organization
Contact information
Practice address
313 PRICE PL STE 11, MADISON, WI 53705-3250
(608) 575-7518
Mailing address
313 PRICE PL STE 11, MADISON, WI 53705-3250
(608) 575-7518
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42219100
—
WI
Enumeration date
10/31/2008
Last updated
10/31/2008
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