Individual
JOSFINA ANTIONETTE MONTANEZ-TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2649
(608) 280-2707
Mailing address
1120 WILLIAMSON ST, MADISON, WI 53703-3753
(608) 516-6992
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
539-228
WI
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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