Individual
JAIME LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
119 MARTIN LUTHER KING JR BLVD, MADISON, WI 53703-3355
(608) 291-3586
Mailing address
5902 TOLMAN TER, MADISON, WI 53711-3360
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5150-57
WI
Other
Enumeration date
09/27/2018
Last updated
02/22/2024
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