Individual
MRS. ROSE M GHILARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 S 1ST ST, SUITE #160, MADISON, WI 53704-5236
(608) 251-0839
(608) 255-2752
Mailing address
111 S 1ST ST, SUITE #160, MADISON, WI 53704-5236
(608) 251-0839
(608) 255-2752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1050123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39623600
—
WI
Enumeration date
01/25/2006
Last updated
12/04/2013
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