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Individual

ANNETTE E MADISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
6051 W BROWN DEER RD, SUITE 106, BROWN DEER, WI 53223-2263
(414) 354-1030
(414) 354-7584
Mailing address
PO BOX 90108, MILWAUKEE, WI 53209-0108
(414) 354-1030
(414) 354-7584

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7034-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41003900
WI
Enumeration date
01/03/2007
Last updated
07/03/2014
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