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Individual

AVENASH PERNANKIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, APSW

Contact information

Practice address
2702 INTERNATIONAL LN STE 102, MADISON, WI 53704-3117
(608) 405-5712
Mailing address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 268-9780

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135486
WI

Other

Enumeration date
05/30/2025
Last updated
05/30/2025
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