Individual
MALLORY CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
303 S PATERSON ST STE 1A, MADISON, WI 53703-4534
(608) 576-0771
(608) 807-5675
Mailing address
303 S PATERSON ST STE 1A, MADISON, WI 53703-4534
(608) 576-0771
(608) 807-5675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10187
WI
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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