Individual
BLANCA NYDIA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 ODANA RD, STE 5, MADISON, WI 53719
(608) 268-6530
(608) 709-1744
Mailing address
6417 ODANA RD, STE 5, MADISON, WI 53719
(608) 268-6530
(608) 709-1744
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
3001001516
WI
Other
Enumeration date
07/17/2018
Last updated
09/10/2020
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