Individual
MARGO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2317 INTERNATIONAL LN, 106B, MADISON, WI 53704-3129
(608) 347-6746
Mailing address
1922 NORTHWESTERN AVE, MADISON, WI 53704-4020
(608) 347-6746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3415
WI
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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