| Children's Service Society Of Wisconsin | |
|
601 S 8th St Sheboygan WI 53081-4405 | |
| (920) 458-5062 | |
| (920) 451-3941 |
| Full Name | Children's Service Society Of Wisconsin |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 601 S 8th St, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Ron Pupp (DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 4142314808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Society Of Wisconsin 601 S 8th St Sheboygan WI 53081-4405 Ph: (920) 458-5062 | Children's Service Society Of Wisconsin 601 S 8th St Sheboygan WI 53081-4405 Ph: (920) 458-5062 |
| NPI Number | 1992979769 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992979769 | NPI | - | NPPES |
| 42126400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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