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NPI Code Detail

MEDICARE: KAREN ANN ROMONOUSKI LCSW

MEDICARE: KAREN ANN ROMONOUSKI LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6138WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275684540
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN ROMONOUSKI LCSW
Provider Business Mailing Address
First Line : 106 S PRAIRIE AVE
Second Line :
City : DEERFIELD
State : WI
Zip : 53531-9526
Country : US
Telephone Number : 608-764-2857
Fax Number :
Provider Business Practice Location Address
First Line : 6502 GRAND TETON PLZ
Second Line : SUITE 206
City : MADISON
State : WI
Zip : 53719-1047
Country : US
Telephone Number : 608-827-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/09/2007

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Directions to “ KAREN ANN ROMONOUSKI LCSW” Practice Location

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