| Annette E Madison Msw Lcsw Llc | |
|
6051 W Brown Deer Rd Suite 106 Brown Deer WI 53223-2263 | |
| (414) 354-1030 | |
| (414) 354-7584 |
| Full Name | Annette E Madison Msw Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6051 W Brown Deer Rd, Brown Deer, Wisconsin |
| Authorized Official Name and Position | Annette Elisa Madison (OWNER) |
| Authorized Official Contact | 4143541030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette E Madison Msw Lcsw Llc Po Box 90108 Milwaukee WI 53209-0108 Ph: (414) 354-1030 | Annette E Madison Msw Lcsw Llc 6051 W Brown Deer Rd Suite 106 Brown Deer WI 53223-2263 Ph: (414) 354-1030 |
| NPI Number | 1124469804 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124469804 | NPI | - | NPPES |
| 41003900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7034-123 (Wisconsin) | Primary |
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