Individual
ELIZABETH LAURIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT
Contact information
Practice address
1320 MENDOTA ST STE 120, MADISON, WI 53714-1060
(608) 280-3106
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 358-5111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
970-124
WI
Other
Enumeration date
10/20/2011
Last updated
12/21/2017
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