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NPI Code Detail

MEDICARE: ALLISON ADELE HILL-SLAVIN LMFT

MEDICARE: ALLISON ADELE HILL-SLAVIN LMFT
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
1106H00000XMarriage & Family Therapist6-228WI

General Provider Information

NPI Number : 1508072182
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ADELE HILL-SLAVIN LMFT
Provider Business Mailing Address
First Line : 5666 OLD OAK DR
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-1689
Country : US
Telephone Number : 608-443-7473
Fax Number :
Provider Business Practice Location Address
First Line : 128 E OLIN AVE
Second Line : SUITE 100
City : MADISON
State : WI
Zip : 53713-1467
Country : US
Telephone Number : 608-316-1186
Fax Number : 608-252-1328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 04/09/2008

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