Individual
CHRISTINE PERNECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3310 UNIVERSITY AVE, SUITE 207, MADISON, WI 53705-2135
(608) 520-0230
Mailing address
3310 UNIVERSITY AVE, SUITE 207, MADISON, WI 53705-2135
(608) 520-0230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7964-123
WI
Other
Enumeration date
12/27/2012
Last updated
11/05/2013
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