| Wisconsin Lutheran Child &family Service, Inc. | |
|
9026 12th Street Somers WI 53171-0295 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Wisconsin Lutheran Child &family Service, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9026 12th Street, Somers, Wisconsin |
| Authorized Official Name and Position | Andrea Semmann (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 2623455560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Lutheran Child &family Service, Inc. W175n11120 Stonewood Dr Germantown WI 53022-6511 Ph: (800) 438-1772 | Wisconsin Lutheran Child &family Service, Inc. 9026 12th Street Somers WI 53171-0295 Ph: (800) 438-1772 |
| NPI Number | 1912383209 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912383209 | NPI | - | NPPES |
| 42223600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |