Individual
MADALYN ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
705 S 24TH AVE STE 400, WAUSAU, WI 54401-5242
(414) 266-1619
Mailing address
705 S 24TH AVE STE 400, WAUSAU, WI 54401-5242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135745121
WI
1041C0700X
Clinical Social Worker
P020858
NC
Other
Enumeration date
08/20/2024
Last updated
09/11/2025
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