Individual
MR. SCOTT IVANOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 6TH ST, REEDSBURG, WI 53959-1202
(608) 524-7908
(608) 524-7990
Mailing address
425 6TH ST, REEDSBURG, WI 53959-1202
(608) 524-7908
(608) 524-7990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8807-120
WI
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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