Organization
RAINBOW MARIFROG, LLC
Active
Parent organization
RAINBOW MARIFROG, LLC
Other names
Wild Roots Healing Collective
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAINBOW MARIFROG, LLC
Authorized official
MS. RAINBOW MARIFROG MA, LMFT (OWNER, PSYCHOTHERAPIST)
(608) 520-6207
Entity
Organization
Contact information
Practice address
2917 INTERNATIONAL LN STE 202, MADISON, WI 53704-3135
(608) 520-6207
(608) 646-7531
Mailing address
2917 INTERNATIONAL LN STE 202, MADISON, WI 53704-3135
(608) 520-6207
(608) 646-7531
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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