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132 E County Road A Stetsonville WI 54480-9587 | |
(715) 678-2250 | |
(715) 678-2662 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 132 E County Road A, Stetsonville, Wisconsin |
Authorized Official Name and Position | Debra Koltis (PRESIDENT) |
Authorized Official Contact | 7156782250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 105 Stetsonville WI 54480-0105 Ph: (715) 678-2250 | 132 E County Road A Stetsonville WI 54480-9587 Ph: (715) 678-2250 |
NPI Number | 1891863494 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1891863494 | NPI | - | NPPES |
1563123 | Other | WI | DEPT OF REGULATION & LIC |