| |
421 Nebraska St Sturgeon Bay WI 54235-2225 | |
(920) 746-2345 | |
(920) 746-2439 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 421 Nebraska St, Sturgeon Bay, Wisconsin |
Authorized Official Name and Position | Sheryl Faye Flores (CSP COORDINATOR) |
Authorized Official Contact | 9207462345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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421 Nebraska St Sturgeon Bay WI 54235-2225 Ph: (920) 746-2345 | 421 Nebraska St Sturgeon Bay WI 54235-2225 Ph: (920) 746-2345 |
NPI Number | 1558518076 |
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Provider Enumeration Date | 08/27/2008 |
Last Update Date | 08/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558518076 | NPI | - | NPPES |
39693300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1510-123 (Wisconsin) | Primary |
Counseling Associates Of Door County, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 N 12th Ave, Sturgeon Bay, WI 54235 Phone: 920-743-9554 Fax: 920-743-1591 | |
Door County Dept Of Community Programs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2345 Fax: 920-746-2439 | |
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