Individual
PAPA FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2021 ATWOOD AVE, MADISON, WI 53704-5324
(608) 244-4859
(608) 244-6809
Mailing address
2021 ATWOOD AVE, MADISON, WI 53704-5324
(608) 244-4859
(608) 244-6809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8784
WI
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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