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Individual

MR. RANDALL JAMES CHIPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2500 OVERLOOK TER, BLDG. 7, MADISON, WI 53705-2254
(608) 280-7073
(608) 280-7296
Mailing address
6506 ASPEN CT, WAUNAKEE, WI 53597-9756
(608) 846-3291

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6556-123
WI

Other

Enumeration date
08/18/2006
Last updated
07/08/2007
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