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Individual

ELIZABETH BONNIE MILGRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
406 N PINCKNEY ST, MADISON, WI 53703-1410
(608) 255-8838
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 662-5090

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1712
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40980300
WI
Enumeration date
08/08/2006
Last updated
10/27/2014
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