Individual
MARY PRISLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2700
Mailing address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15842
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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