| Wisconsin Lutheran Child & Family Service ,inc. | |
|
9200 Elm Creek Blvd N Maple Grove MN 55369-5012 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Wisconsin Lutheran Child & Family Service ,inc. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 9200 Elm Creek Blvd N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Linda Lutheran Rangel (INSURANCE COORDINATOR) |
| Authorized Official Contact | 2623455533 |
| 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. 9200 Elm Creek Blvd N Maple Grove MN 55369-5012 Ph: (800) 438-1772 |
| NPI Number | 1073031407 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073031407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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