| Magnolia Therapy And Mentoring Llc | |
|
606 Cooper Rd Waunakee WI 53597-1464 | |
| (608) 338-5101 | |
| Not Available |
| Full Name | Magnolia Therapy And Mentoring Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 606 Cooper Rd, Waunakee, Wisconsin |
| Authorized Official Name and Position | Danielle Marie Penaranda (OWNER/CEO) |
| Authorized Official Contact | 6083385101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Therapy And Mentoring Llc 1340 Stratford Ct Middleton WI 53562-3675 Ph: (608) 338-5101 | Magnolia Therapy And Mentoring Llc 606 Cooper Rd Waunakee WI 53597-1464 Ph: (608) 338-5101 |
| NPI Number | 1881413227 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881413227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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