Connie Champion's National Provider Identifier (NPI) Details
Connie Champion, LSW, LPC-IT, SAC-IT
NPI: 1598253890
Enumeration Date: 2018-04-23
Last updated: 2018-04-23
Sole Proprietor: NO
Status: active
Postal Address: 5900 MONONA DR STE 300, MONONA, WI
Phone: 608-663-2120
Primary Practice Address: 414 BROADWAY ST STE 101, BARABOO, WI
Practice's phone: 608-402-4312