Harvard Storm BA

NPI 1043429988 - Social Worker - 1041C0700X

NPI Details
NPI 1043429988
Gender Male
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
625 W WASHINGTON AVE
MADISON WI, 53703-2637, US
Phone (608) 280-2700
Fax
Business Location
625 W WASHINGTON AVE
MADISON WI, 53703-2637, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 6142
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According to our database, Harvard Storm BA NPI is 1043429988, taxonomy code is 1041C0700X and license number is 6142, license state is located at Wisconsin. Harvard Storm BA physically located at 625 W Washington Ave, Madison WI, 53703-2637. NPI Number Harvard Storm BA has the Individual type.

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1043429988 NPI number is provided on an as is basis without warranty of any kind. 1043429988 is maintained by the National Plan & Provider Enumeration System. The contents of Harvard Storm BA are for informational purposes only.