Individual
DALE EDWARD DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 WISCONSIN AVE, MADISON, WI 53703-1487
(608) 345-1349
(608) 256-5116
Mailing address
401 WISCONSIN AVE, MADISON, WI 53703-1487
(608) 345-1349
(608) 256-5116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11475-132
WI
1041C0700X
Clinical Social Worker
Primary
6789-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40931200
—
WI
Enumeration date
03/24/2007
Last updated
03/19/2024
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