| Rainbow Marifrog, Llc | |
|
2917 International Ln Ste 202 Madison WI 53704-3135 | |
| (608) 520-6207 | |
| (608) 646-7531 |
| Full Name | Rainbow Marifrog, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2917 International Ln Ste 202, Madison, Wisconsin |
| Authorized Official Name and Position | Rainbow Marifrog (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 6085206207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Marifrog, Llc 2917 International Ln Ste 202 Madison WI 53704-3135 Ph: (608) 520-6207 | Rainbow Marifrog, Llc 2917 International Ln Ste 202 Madison WI 53704-3135 Ph: (608) 520-6207 |
| NPI Number | 1720830847 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720830847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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