Individual
BRIDGET C. ELLINGBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6314 ODANA RD, LSS OF WI & UPPER MI, INC., MADISON, WI 53719-1129
(608) 277-0610
(608) 270-6651
Mailing address
6314 ODANA RD, LSS OF WI & UPPER MI, INC., MADISON, WI 53719-1129
(608) 277-0610
(608) 270-6651
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105228
WI
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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