Individual
MONICA JO WIGHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
6333 ODANA RD, MADISON, WI 53719-1170
(608) 270-2511
Mailing address
326 JUSTIN DR, MOUNT HOREB, WI 53572-2199
(608) 712-7287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2368-123
WI
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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