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1052 Main St Stevens Point WI 54481-2848 | |
| (715) 345-1965 | |
| (715) 254-0372 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1052 Main St, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Clara A. Cleve (DIRECTOR - PSYCHOTHERAPIST) |
| Authorized Official Contact | 7153451965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 445 Stevens Point WI 54481-0445 Ph: (715) 345-1965 | 1052 Main St Stevens Point WI 54481-2848 Ph: (715) 345-1965 |
| NPI Number | 1205059219 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205059219 | NPI | - | NPPES |
| 39577700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CERT NO. 1320 (Wisconsin) | Primary |
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