Individual
SHANA R MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 SCIENCE DR STE 300, MADISON, WI 53711-1064
(262) 789-1191
Mailing address
440 SCIENCE DR STE 300, MADISON, WI 53711-1064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9793-123
WI
1041C0700X
Clinical Social Worker
CSW.09923832
CO
Other
Enumeration date
03/04/2015
Last updated
07/08/2024
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