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Individual

MRS. DANAE BUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
119 MILL RD, PALMYRA, WI 53156-9310
(262) 370-5527
(262) 485-8689
Mailing address
903 E 3RD AVE, BRODHEAD, WI 53520-1331
(262) 949-2798
(262) 495-8689

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
104100000X
Social Worker
7101-120
WI

Other

Enumeration date
12/15/2015
Last updated
12/15/2015
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