Individual
MRS. VADA MARY DEWERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
2914 INDUSTRIAL DR, MADISON, WI 53713-4047
(608) 223-3319
(608) 223-3304
Mailing address
2914 INDUSTRIAL DR, MADISON, WI 53713-4047
(608) 223-3319
(608) 223-3304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11708-132
WI
101YM0800X
Mental Health Counselor
1176-123
WI
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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