Individual
JENNIFER L LARSON CONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7289-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831356443
NPI NUMBER
—
05
—
43703800
—
WI
Enumeration date
05/21/2008
Last updated
07/13/2023
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