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General NPI Number Information
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NPI Number | 1942600515
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Entity Type | Organization
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Legal Business Name | MADISON COACHING & THERAPY SERVICES
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 3310 UNIVERSITY AVE SUITE 207
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City | MADISON
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State | WI
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Zip | 53705-2135
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Country | US
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Telephone | 608-230-6178
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 UNIVERSITY AVE SUITE 207
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City | MADISON
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State | WI
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Zip | 53705-2135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DEBORAH L ROWLEY
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Credential | MSW, CAPSW
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Telephone | 608-230-6178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 128107
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License Number State | WI
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