Individual
CARLOS ALBERTO FUNES-DIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5618 FRASER CIR APT 304, MADISON, WI 53718-4414
(936) 689-6516
Mailing address
5618 FRASER CIR APT 304, MADISON, WI 53718-4414
(936) 689-6516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12213125
WI
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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