Organization
MADISON COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY LEWIS LCSW (PSYCHOTHERAPIST)
(608) 257-0800
Entity
Organization
Contact information
Practice address
1050 REGENT ST, SUITE 204, MADISON, WI 53715
(608) 257-0800
Mailing address
1050 REGENT ST, SUITE 204, MADISON, WI 53715
(608) 257-0800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1008
WI
1041C0700X
Clinical Social Worker
1105123
WI
1041C0700X
Clinical Social Worker
Primary
3047
WI
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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