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General NPI Number Information
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NPI Number | 1700791720
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Entity Type | Individual
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Provider Name | STEPHANIE MADSON SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 2719 CALUMET AVE
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City | MANITOWOC
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State | WI
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Zip | 54220-5546
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Country | US
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Telephone | 920-686-2333
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Fax | 920-686-0352
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Provider Business Mailing Address
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Address Line | 1721 SAEMANN AVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081-2342
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Country | US
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Telephone | 920-783-6633
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Fax | 920-783-6392
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11673-120
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License Number State | WI
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