Individual
DANIEL NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2418 WINNEBAGO ST APT 416, MADISON, WI 53704-5456
(608) 446-4856
Mailing address
2418 WINNEBAGO ST APT 416, MADISON, WI 53704-5456
(608) 446-4856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128227
WI
Other
Enumeration date
10/11/2019
Last updated
10/13/2024
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