| Door County Department Of Community Programs | |
|
421 Nebraska St Sturgeon Bay WI 54235-2225 | |
| (920) 746-2345 | |
| (920) 746-2439 |
| Full Name | Door County Department Of Community Programs |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 421 Nebraska St, Sturgeon Bay, Wisconsin |
| Authorized Official Name and Position | Sheryl Faye Flores (CSP COORDINATOR) |
| Authorized Official Contact | 9207462345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Door County Department Of Community Programs 421 Nebraska St Sturgeon Bay WI 54235-2225 Ph: (920) 746-2345 | Door County Department Of Community Programs 421 Nebraska St Sturgeon Bay WI 54235-2225 Ph: (920) 746-2345 |
| NPI Number | 1558518076 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558518076 | NPI | - | NPPES |
| 39693300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1510-123 (Wisconsin) | Primary |
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