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Individual

MRS. MARTHA DARLENE KNIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1805 EXCELSIOR DR, THE FAMILY CENTER, MADISON, WI 53717
(608) 663-6154
Mailing address
PO BOX 398, NEW GLARUS, WI 53574-0398
(608) 438-0982

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
362-228
WI
106H00000X
Marriage & Family Therapist
WI

Other

Enumeration date
09/26/2013
Last updated
09/26/2013
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