Individual
MR. ETHAN THOMAS SCOFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 UNIVERSITY AVE, MADISON, WI 53705-5439
(608) 233-2100
Mailing address
31 CRAIG AVE, MADISON, WI 53705-1335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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