Individual
CELESTE MARIE EVICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 FORWARD DR, MADISON, WI 53711-2443
(608) 268-6530
Mailing address
401 PARK WAY, MADISON, WI 53705-2640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
136155
WI
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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