Individual
MUNROE WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAD III
Contact information
Practice address
25 KESSEL COURT, #200, MADISON, WI 53711
(608) 278-8200
(608) 278-8204
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10728
WI
Other
Enumeration date
03/14/2006
Last updated
05/01/2009
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