Individual
DAN ALAN DESLOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713
(608) 252-1320
(608) 252-1333
Mailing address
128 E OLIN AVE, SUITE 100, MADISON, WI 53713
(608) 252-1320
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3175125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40918500
—
WI
Enumeration date
11/06/2006
Last updated
07/08/2007
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