Individual
MADELINE DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 273-8484
Mailing address
4485 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20667-130
WI
Other
Enumeration date
09/16/2024
Last updated
09/17/2024
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