Individual
MS. MARINA MACGILLIVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 WATTS RD, MADISON, WI 53719-2726
(262) 893-0769
Mailing address
6515 WATTS RD, MADISON, WI 53719-2726
(262) 893-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
11729
WV
1041C0700X
Clinical Social Worker
Primary
11729
WI
Other
Enumeration date
02/26/2020
Last updated
07/30/2024
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