| Wis. Lutheran Child & Family Services | |
|
2345 N 25th St Milwaukee WI 53206-1003 | |
| (262) 345-5560 | |
| (262) 345-5562 |
| Full Name | Wis. Lutheran Child & Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2345 N 25th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Daniel P Nommensen (PROGRAMS DIRECTOR) |
| Authorized Official Contact | 2623455560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wis. Lutheran Child & Family Services W175n11120 Stonewood Dr Germantown WI 53022-6511 Ph: (262) 345-5560 | Wis. Lutheran Child & Family Services 2345 N 25th St Milwaukee WI 53206-1003 Ph: (262) 345-5560 |
| NPI Number | 1497029904 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497029904 | NPI | - | NPPES |
| 39798400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7143-123 (Wisconsin) | Primary |
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