Individual
DR. THERON EDWARD PARSONS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
702 N BLACKHAWK AVE, SUITE 104, MADISON, WI 53705-3357
(608) 669-0605
(608) 231-2334
Mailing address
702 N BLACKHAWK AVE, SUITE 104, MADISON, WI 53705-3357
(608) 669-0605
(608) 231-2334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127066-121
WI
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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