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General NPI Number Information
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NPI Number | 1477544732
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SERVICE FOR WOMEN AND FAMILIES
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 715 HILL ST #160
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City | MADISON
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State | WI
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Zip | 53705-3542
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Country | US
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Telephone | 608-256-0942
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Fax | 608-221-1143
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Provider Business Mailing Address
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Address Line | 715 HILL ST #160
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City | MADISON
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State | WI
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Zip | 53705-3542
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Country | US
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Telephone | 608-256-0942
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Fax | 608-221-1143
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | NANCY F. YOUNG
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Credential | M.A., MFT
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Telephone | 608-221-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 24-124
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License Number State | WI
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