Individual
MS. MARITA L DAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Mailing address
6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3341-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001784027
MEDICARE
WI
05
—
43728800
—
WI
Enumeration date
10/18/2007
Last updated
05/01/2008
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