Individual
MOLLY KROCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 SPAIGHT ST, MADISON, WI 53703-3724
(608) 320-9039
Mailing address
1519 SPAIGHT ST, MADISON, WI 53703-3724
(608) 320-9039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5717-125
WI
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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