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Organization

LIFE HISTORY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANITA HECHT LCSW (DIRECTOR)
(608) 255-9669
Entity
Organization

Contact information

Practice address
503 S DICKINSON ST, MADISON, WI 53703-4061
(608) 255-9669
Mailing address
503 S DICKINSON ST, MADISON, WI 53703-4061
(608) 255-9669

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4343-123
WI

Other

Enumeration date
10/23/2006
Last updated
08/22/2020
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