Individual
MADISON DOWIDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(920) 783-6633
Mailing address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7249
WI LICENSE
WI
Enumeration date
02/07/2023
Last updated
02/07/2023
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