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Organization

THE COMMUNITY TREE

Active
Parent organization
CHAMELEON GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHAMELEON GROUP
Authorized official
GLEN OWEN SALLOWS PHD (OWNER/DIRECTOR)
(608) 288-9040
Entity
Organization

Contact information

Practice address
6402 ODANA RD, MADISON, WI 53719-1123
(608) 288-9040
(608) 288-9042
Mailing address
6402 ODANA RD, MADISON, WI 53719-1123
(608) 288-9040
(608) 288-9042

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2800-154
WI

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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