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550 N Dewey St Eau Claire WI 54703-3218 | |
| (715) 834-6681 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 550 N Dewey St, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Vera Matter (ADMINISTRATOR) |
| Authorized Official Contact | 7158346681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
550 N Dewey St Eau Claire WI 54703-3218 Ph: (715) 834-6681 | 550 N Dewey St Eau Claire WI 54703-3218 Ph: (715) 834-6681 |
| NPI Number | 1396182077 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396182077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2993 (Wisconsin) | Primary |
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