Individual
AARON BRENT DICKSON-BAURES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2317 INTERNATIONAL LN STE 119, MADISON, WI 53704-3154
(608) 467-8870
(608) 467-6735
Mailing address
916 GILES ST, STOUGHTON, WI 53589-1813
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3568-57
WI
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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