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Organization

MADISON ART THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY J TOLTZIEN LPC, ATR, WATR (MEMBER/ART THERAPIST)
(608) 520-0846
Entity
Organization

Contact information

Practice address
700 RAY O VAC DR STE 320, MADISON, WI 53711-2471
(608) 520-0846
(608) 709-1079
Mailing address
700 RAY O VAC DR STE 320, MADISON, WI 53711-2471
(608) 520-0846
(608) 709-1079

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
221700000X
Art Therapist

Other

Enumeration date
11/05/2019
Last updated
11/05/2019
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