Individual
MRS. SUSAN JOAN LEGRAND LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
725 HEARTLAND TRL STE 104, MADISON, WI 53717-1976
(608) 843-3428
(888) 783-3165
Mailing address
725 HEARTLAND TRL STE 104, MADISON, WI 53717-1976
(888) 783-3165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2311-125
WI
104100000X
Social Worker
Primary
2311-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42224000
—
WI
Enumeration date
08/01/2006
Last updated
08/01/2024
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