Individual
KADDIJATOU JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 688-9586
Mailing address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 688-9586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20768
WI
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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