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Individual

DR. DANIEL J ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, MFT

Contact information

Practice address
700 RAYOVAC DR., #103, MADISON, WI 53711-2479
(608) 238-5826
(608) 238-1221
Mailing address
700 RAYOVAC DR., #103, MADISON, WI 53711-2479
(608) 238-5826
(608) 238-1221

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3238-123
WI
106H00000X
Marriage & Family Therapist
4-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689681165
WI
05
39665600
WI
Enumeration date
08/01/2006
Last updated
06/02/2021
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