| Impact Child And Family Therapies Inc | |
|
829 S Green Bay Rd Suite 108 Mount Pleasant WI 53406-4058 | |
| (262) 497-6212 | |
| Not Available |
| Full Name | Impact Child And Family Therapies Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 829 S Green Bay Rd, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | William Paul Stewart (CO DIRECTOR AND EXECUTIVE OFFICER) |
| Authorized Official Contact | 8472759498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Child And Family Therapies Inc 829 S Green Bay Rd Suite 108 Mount Pleasant WI 53406-4058 Ph: (262) 497-6212 | Impact Child And Family Therapies Inc 829 S Green Bay Rd Suite 108 Mount Pleasant WI 53406-4058 Ph: (262) 497-6212 |
| NPI Number | 1740520345 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 02/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740520345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7963-123 (Wisconsin) | Primary |
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