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Individual

ELIZABETH CANFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1108 GAS LIGHT DR, SUN PRAIRIE, WI 53590-3458
(920) 210-9778
Mailing address
1108 GAS LIGHT DR, SUN PRAIRIE, WI 53590-3458
(920) 210-9778

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4226
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7879
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
07/10/2020
Last updated
10/30/2024
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