Individual
JULIA COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 1ST ST, SUITE 120, MADISON, WI 53704-5236
(608) 244-4066
Mailing address
111 S 1ST ST, SUITE 120, MADISON, WI 53704-5236
(608) 244-4066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
275-228
WI
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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