Individual
JUDITH ANN ROETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CAPSW
Contact information
Practice address
310 N MIDVALE BLVD, SUITE 202, MADISON, WI 53705-3265
(608) 280-3959
(608) 238-1929
Mailing address
310 N MIDVALE BLVD, SUITE 202, MADISON, WI 53705-3265
(608) 280-3959
(608) 238-1929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1107-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39717100
—
WI
Enumeration date
04/04/2007
Last updated
07/08/2007
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