Individual
JOSEPH SHAWN PFALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2636
Mailing address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2782-226
WI
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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