Individual
SCOTT ALAN ETHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
302 W LAKE ST, FRIENDSHIP, WI 53934
(608) 474-4355
Mailing address
JUNEAU COUNTY DEPT OF HUMAN SERVICES, 200 HICKORY ST, MAUSTON, WI 53948
(608) 847-2400
(608) 847-9421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2217-123
WI
Other
Enumeration date
06/17/2010
Last updated
03/29/2019
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