Provider First Line Business Practice Location Address:
305 EDUCATION BUILDING, 1000 BASCOM MALL
Provider Second Line Business Practice Location Address:
COUNSELING PSYCHOLOGY, UNIVERSITY OF WISCONSIN-MADISON
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-3753
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007