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Individual

SARAH MALECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
700 RAY O VAC DR STE 320, MADISON, WI 53711-2471
(608) 514-1625
Mailing address
700 RAY O VAC DR STE 320, MADISON, WI 53711-2471
(608) 203-6267

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1445-226
WI
101YM0800X
Mental Health Counselor
Primary
977-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5370-125
LPC
WI
01
977-124
LMFT
WI
Enumeration date
04/13/2013
Last updated
07/01/2022
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