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102 W State St Mauston WI 53948-1354 | |
(608) 847-7924 | |
(608) 847-7925 |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 102 W State St, Mauston, Wisconsin |
Authorized Official Name and Position | Margaret A. Dennison (OWNER) |
Authorized Official Contact | 6088477924 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 193 Mauston WI 53948-0193 Ph: (608) 847-7924 | 102 W State St Mauston WI 53948-1354 Ph: (608) 847-7924 |
NPI Number | 1821495185 |
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Provider Enumeration Date | 12/01/2014 |
Last Update Date | 12/01/2014 |
Identifier | Type | State | Issuer |
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1821495185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 2394-57 (Wisconsin) | Primary |
Heart Line Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Gateway Ave Ste F, Mauston, WI 53948 Phone: 608-285-2133 Fax: 608-716-3155 |