Individual
ELISE L COMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
619 RIVER ST, BELLEVILLE, WI 53508-9188
(608) 424-9100
(608) 424-9099
Mailing address
39 GOLDENROD LN, MADISON, WI 53719-2304
(608) 335-7191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128596121
WI
1041C0700X
Clinical Social Worker
8235-123
WI
Other
Enumeration date
03/05/2012
Last updated
05/21/2015
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