Individual
DAVID DATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., L.M.F.T.
Contact information
Practice address
16798 GAULT VALLEY RD, HILLSBORO, WI 54634-3375
(608) 627-1221
Mailing address
16798 GAULT VALLEY RD, HILLSBORO, WI 54634-3375
(608) 627-1221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2507-123
WI
106H00000X
Marriage & Family Therapist
350-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39617300
—
WI
Enumeration date
02/12/2007
Last updated
03/20/2017
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