Individual
MS. DONNA MARIE ULTEIG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW, DCSW
Contact information
Practice address
2727 MARSHALL CT, PSSC, MADISON, WI 53705-2255
(608) 238-9354
(608) 238-7675
Mailing address
802 BUTTERNUT RD, MADISON, WI 53704-6006
(608) 249-0022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
391-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391-123
STATE SW LICENSE
WI
Enumeration date
06/10/2006
Last updated
07/08/2007
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