Individual
MRS. ELIZABETH LYNN WELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
6402 ODANA RD, MADISON, WI 53719-1123
(608) 695-0674
Mailing address
6402 ODANA RD, MADISON, WI 53719-1123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5461
WI
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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