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Individual

BRIAN KASPAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5618 ODANA RD, MADISON, WI 53719-1208
(608) 232-3171
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009626
VA
1041C0700X
Clinical Social Worker
Primary
9661-123
WI

Other

Enumeration date
09/22/2016
Last updated
04/13/2022
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