Individual
MARY L. BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2700
Mailing address
25 KESSEL CT, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/30/2016
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