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Individual

JACOB WOLLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4785 HAYES RD, MADISON, WI 53704-7364
(608) 921-0040
Mailing address
2211 WOODVIEW CT APT 15, MADISON, WI 53713-1943
(608) 921-0040

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
01/19/2023
Last updated
01/19/2023
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