Organization
ANNETTE E MADISON
Active
Other names
Annette E Madison MSW LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE ELISA MADISON LCSW (OWNER)
(414) 354-1030
Entity
Organization
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
251S00000X
Community/Behavioral Health Agency
Primary
7034-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41003900
—
WI
Enumeration date
07/10/2013
Last updated
07/03/2014
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