Individual
MARY KATHLEEN RANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E BADGER RD STE A, MADISON, WI 53713-2708
(608) 250-2512
Mailing address
151 E BADGER RD STE A, MADISON, WI 53713-2708
(608) 250-2512
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
121594-30
WI
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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