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Individual

LYNET UTTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MSW, PHD, BS

Contact information

Practice address
49 KESSEL CT, MADISON, WI 53711-6200
(608) 280-2672
Mailing address
49 KESSEL CT, MADISON, WI 53711-6200
(608) 280-2672

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9374-123
WI

Other

Enumeration date
06/11/2015
Last updated
03/15/2022
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