Organization
MAGNOLIA THERAPY AND MENTORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE PENARANDA LCSW (OWNER/CEO)
(608) 338-5101
Entity
Organization
Contact information
Practice address
606 COOPER RD, WAUNAKEE, WI 53597-1464
(608) 338-5101
Mailing address
1340 STRATFORD CT, MIDDLETON, WI 53562-3675
(608) 338-5101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
11/18/2024
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