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Individual

THERESA MCMUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3709 MAMMOTH TRL, MADISON, WI 53719-4027
(608) 630-7805
Mailing address
3709 MAMMOTH TRL, MADISON, WI 53719-4027
(608) 630-7805

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4189-125
WI

Other

Enumeration date
12/29/2014
Last updated
12/29/2014
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