Individual
VANESSA WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-6000
(608) 260-3447
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-6000
(608) 260-3447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902281819
—
WI
Enumeration date
07/22/2015
Last updated
01/13/2016
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