Organization
WOMEN'S PSYCHOTHERAPY CENTRE OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KAY NEUMANN MSSW, LCSW (OWNER)
(608) 255-4747
Entity
Organization
Contact information
Practice address
181 OHIO AVE, MADISON, WI 53704
(608) 255-4747
Mailing address
181 OHIO AVE, MADISON, WI 53704-5450
(608) 255-4747
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42219900
—
WI
Enumeration date
11/20/2006
Last updated
07/19/2018
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