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Organization

MONONA MEDIATION AND COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH HUGH WALDRON PH.D. (OWNER-PSYCHOLOGIST)
(608) 442-3420
Entity
Organization

Contact information

Practice address
6320 MONONA DR STE 314, MONONA, WI 53716-3985
(608) 442-3420
(608) 443-3421
Mailing address
6320 MONONA DR STE 314, MONONA, WI 53716-3985
(608) 442-3420
(608) 443-3421

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1774-057
WI
1041C0700X
Clinical Social Worker
913-123
WI

Other

Enumeration date
10/31/2009
Last updated
10/31/2009
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