| Children's Service Society Of Wisconsin | |
|
601 S Central Ave Suite 200 Marshfield WI 54449-4104 | |
| (715) 387-2729 | |
| (715) 387-4526 |
| Full Name | Children's Service Society Of Wisconsin |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 601 S Central Ave, Marshfield, Wisconsin |
| Authorized Official Name and Position | Tracy Oerter (INTERIM DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 4142662912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Society Of Wisconsin 601 S Central Ave Suite 200 Marshfield WI 54449-4104 Ph: (715) 387-2729 | Children's Service Society Of Wisconsin 601 S Central Ave Suite 200 Marshfield WI 54449-4104 Ph: (715) 387-2729 |
| NPI Number | 1124292420 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124292420 | NPI | - | NPPES |
| 42202600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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