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Mary E Smith, PC

Counselor, Professional in Madison, WI. Individual provider (NPI-1).

NPI number1962027342
StatusActive
Last updated in NPPESMay 31, 2026

Details

NPI
1962027342
Entity type
Individual (NPI-1)
Name
Mary E Smith
Credential
PC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2020
Certification date
May 31, 2026
Last updated
May 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

6300 Enterprise Ln Ste 301
Madison, WI 53719-1193

Phone 608-828-3636

Mailing address

6300 Enterprise Ln Ste 301
Madison, WI 53719-1193

Phone 608-469-0966

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