Individual
JAMIE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
Mailing address
2713 WAUNONA WAY, MADISON, WI 53713-1543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128942121
WI
1041C0700X
Clinical Social Worker
Primary
8658
WI
Other
Enumeration date
06/02/2016
Last updated
01/19/2021
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