Individual
DENNIS L. MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1619 MONROE ST, MADISON, WI 53711-2063
(608) 255-9330
(608) 255-7810
Mailing address
1619 MONROE ST, MADISON, WI 53711-2063
(608) 255-9330
(608) 255-7810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3147-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39200700
—
WI
Enumeration date
12/27/2006
Last updated
07/08/2007
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