| Advance Clinical Services Llc | |
|
6121 Green Bay Rd Ste 200 Kenosha WI 53142-2931 | |
| (262) 694-3718 | |
| Not Available |
| Full Name | Advance Clinical Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6121 Green Bay Rd Ste 200, Kenosha, Wisconsin |
| Authorized Official Name and Position | Nicholas Olsen (OWNER) |
| Authorized Official Contact | 2626943718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Clinical Services Llc 6121 Green Bay Rd Ste 200 Kenosha WI 53142-2931 Ph: (262) 694-3718 | Advance Clinical Services Llc 6121 Green Bay Rd Ste 200 Kenosha WI 53142-2931 Ph: (262) 694-3718 |
| NPI Number | 1124791595 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124791595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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