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Individual

EDWARD SCANLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APSW

Contact information

Practice address
425 6TH ST, REEDSBURG, WI 53959-1202
(608) 524-7966
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
(608) 524-7966

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/21/2009
Last updated
12/21/2009
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