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Individual

LINDSAY WOODBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
322 DEWITT ST, PORTAGE, WI 53901-2114
(608) 280-2700
Mailing address
25 KESSEL CT, STE 105, MADISON, WI 53711-6227

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17659-130
WI
101YP2500X
Professional Counselor
Primary
2625-226
WI

Other

Enumeration date
04/26/2017
Last updated
04/26/2017
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