| Circle Of Joy Wellness Center | |
|
N2355 Smith Road Merrill WI 54452-9453 | |
| (715) 539-3580 | |
| Not Available |
| Full Name | Circle Of Joy Wellness Center |
|---|---|
| Speciality | Social Worker |
| Location | N2355 Smith Road, Merrill, Wisconsin |
| Authorized Official Name and Position | Gwendolyn Jayne Martell (AGENT COUNSELOR) |
| Authorized Official Contact | 7155511970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Joy Wellness Center N2355 Smith Road Merrill WI 54452-9453 Ph: (715) 539-3580 | Circle Of Joy Wellness Center N2355 Smith Road Merrill WI 54452-9453 Ph: (715) 539-3580 |
| NPI Number | 1336324433 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Medicare PECOS PAC ID | 9537219571 |
|---|---|
| Medicare Enrollment ID | O20090611000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336324433 | NPI | - | NPPES |
| 42248500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Wisconsin) | Primary |
| Provider Name | Gwendolyn J Martell-daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891906889 PECOS PAC ID: 9638229677 Enrollment ID: I20090611000743 |
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