| Children's Service Society | |
|
705 S 24th Ave Ste 400 Wausau WI 54401-5242 | |
| (715) 848-1457 | |
| (715) 848-2959 |
| Full Name | Children's Service Society |
|---|---|
| Speciality | Counselor - Professional |
| Location | 705 S 24th Ave, Wausau, Wisconsin |
| Authorized Official Name and Position | Tracy Oerter (INTERIM DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 4142662912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Society 705 S 24th Ave Ste 400 Wausau WI 54401-5242 Ph: (715) 848-1457 | Children's Service Society 705 S 24th Ave Ste 400 Wausau WI 54401-5242 Ph: (715) 848-1457 |
| NPI Number | 1497884597 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497884597 | NPI | - | NPPES |
| 42129800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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