Individual
JACOB SALWOLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2636
Mailing address
960 JOHN NOLEN DR APT 217, MADISON, WI 53713-1411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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