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Individual

MADISON D WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW, SAC-IT

Contact information

Practice address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-8700
(920) 303-5630
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 303-8700
(920) 303-5630

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18791-130
WI
104100000X
Social Worker
131669-121
WI
1041C0700X
Clinical Social Worker
Primary
18791
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100224192
WI
Enumeration date
01/14/2020
Last updated
12/29/2025
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