Individual
MS. ELLEN MARY WANNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-7291
Mailing address
17 N FRANKLIN ST, MADISON, WI 53703-2307
(608) 201-2247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8808-123
WI
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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