Organization
MIND AND MATCH WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ROZANSKI (AUTHORIZED AGENT)
(608) 284-8867
Entity
Organization
Contact information
Practice address
901 S WHITNEY WAY, MADISON, WI 53711-2553
(608) 284-8867
Mailing address
867 BOYLSTON ST # 1582, BOSTON, MA 02116-2774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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