Individual
MS. JAVON ALYASIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
702 N BLACKHAWK AVE, MADISON, WI 53705-3357
(608) 778-6409
Mailing address
702 N BLACKHAWK AVE, SUITE 104, MADISON, WI 53705-3357
(608) 778-6409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7410-123
WI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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