Provider Information for 1780981043
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KATHRYN E CONDON LPC
Sex: Female
NPI: 1780981043
Last Updated: 2011-06-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1780981043 | ||||||||
| Enumeration Date | 2011-02-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1213 N SHERMAN AVE # 106 MADISON, WI 53704-4236 United States Phone: 608-695-9915 | Fax:608-230-5682 | ||||||||
| Primary Practice Address | 406 N PINCKNEY ST MADISON, WI 53703-1410 United States Phone: 608-695-9915 | Fax:608-255-8837 | ||||||||
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