Kassianna G Madison
Kassianna G Madison is a Counselor in Fond Du Lac, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
459 E 1st StFond Du Lac, WI 54935-4505
Phone: (920) 929-3500
Fax: (920) 929-3129
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1659081180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 23, 2022 |
| Last updated in NPPES | November 23, 2022 |
| Certification date | November 23, 2022 |
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