Individual
AUDRA J SULEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713-1467
(608) 316-1186
(608) 252-1333
Mailing address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713-1467
(608) 316-1186
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7966
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669717500
—
WI
Enumeration date
12/04/2012
Last updated
01/04/2013
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