| Rural Employee And Student Assistance Professionals, Inc. | |
|
40 Jewelers Park Drive Suite 100 Neenah WI 54956 | |
| (715) 281-1541 | |
| (920) 720-9980 |
| Full Name | Rural Employee And Student Assistance Professionals, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Jewelers Park Drive, Neenah, Wisconsin |
| Authorized Official Name and Position | Laurie Ann Knutzen (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7152811541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Employee And Student Assistance Professionals, Inc. 40 Jewelers Park Dr Suite 100 Neenah WI 54956-3702 Ph: (715) 281-1541 | Rural Employee And Student Assistance Professionals, Inc. 40 Jewelers Park Drive Suite 100 Neenah WI 54956 Ph: (715) 281-1541 |
| NPI Number | 1174857312 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174857312 | NPI | - | NPPES |
| 39256200 | Medicaid | WI | |
| 1205960077 | Other | WI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 625-123 (Wisconsin) | Primary |
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