Provider First Line Business Practice Location Address:
9 ODANA COURT SUITE 203
Provider Second Line Business Practice Location Address:
UPLANDS COUNSELING ASSOCIATES
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-274-5781
Provider Business Practice Location Address Fax Number:
608-274-2848
Provider Enumeration Date:
06/20/2006