Provider Information for 1164145033
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Miss DANA MARIE FRITCHE MSW, CAPSW, SAC-IT
Sex: Female
NPI: 1164145033
Last Updated: 2022-09-26
Certification Date: 2022-09-24
Certification Date: 2022-09-24
Details
Name | Value | ||||||||||||
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NPI | 1164145033 | ||||||||||||
Enumeration Date | 2022-09-26 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1021 N MULFORD RD ROCKFORD, IL 61107-3874 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 5005 UNIVERSITY AVE MADISON, WI 53705-5439 United States Phone: 608-233-2100 | Fax:608-233-2101 | ||||||||||||
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