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Individual

ANTHONY JAMES UTRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6622 OFFSHORE DR, MADISON, WI 53705-4236
(608) 571-2536
(920) 887-8839
Mailing address
6622 OFFSHORE DR, MADISON, WI 53705-4236
(920) 296-6599
(920) 887-8839

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19383-130
WI
1041C0700X
Clinical Social Worker
Primary
11279-123
WI

Other

Enumeration date
05/24/2021
Last updated
01/17/2025
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