| Professional Family Resources & Associates Llc | |
|
2300 Lineville Rd Ste 200 Green Bay WI 54313-8859 | |
| (920) 434-7457 | |
| (920) 434-7460 |
| Full Name | Professional Family Resources & Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2300 Lineville Rd Ste 200, Green Bay, Wisconsin |
| Authorized Official Name and Position | Gail Sell (OWNER/SOLO PRACTIONER) |
| Authorized Official Contact | 9204347457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Family Resources & Associates Llc 2300 Lineville Road Ste 201 Green Bay WI 54313 Ph: (920) 434-7457 | Professional Family Resources & Associates Llc 2300 Lineville Rd Ste 200 Green Bay WI 54313-8859 Ph: (920) 434-7457 |
| NPI Number | 1952653271 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952653271 | NPI | - | NPPES |
| 39737600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 610-124 (Wisconsin) | Primary |
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