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Individual

ALEXIS MALKUSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
301 S BLOUNT ST, MADISON, WI 53703-4664
(608) 405-5111
Mailing address
301 S BLOUNT ST, MADISON, WI 53703-4664

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1185-123
WI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/02/2019
Last updated
07/25/2024
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