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Individual

GERALYN VAVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
555 DONOFRIO DR STE 201, MADISON, WI 53719-2053
(608) 820-1395
Mailing address
555 DONOFRIO DR STE 201, MADISON, WI 53719-2053
(608) 820-1395

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
20504130
WI

Other

Enumeration date
05/02/2024
Last updated
05/02/2024
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