Individual
MICHAEL J WAUPOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3414 SUNBROOK RD, MADISON, WI 53704-2729
(608) 235-4292
Mailing address
3414 SUNBROOK RD, MADISON, WI 53704-2729
(608) 235-4292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7061
WI
Other
Enumeration date
03/08/2006
Last updated
04/04/2019
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