Kids Discover Success Therapeutics, Llc | |
9240 N 60th St Brown Deer WI 53223-1502 | |
(414) 303-4505 | |
Not Available |
Full Name | Kids Discover Success Therapeutics, Llc |
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Speciality | Community/behavioral Health |
Location | 9240 N 60th St, Brown Deer, Wisconsin |
Authorized Official Name and Position | Deborah A Buchanan (OWNER/PRACTITIONER) |
Authorized Official Contact | 4143034505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Discover Success Therapeutics, Llc 9240 N 60th St Brown Deer WI 53223-1502 Ph: (414) 303-4505 | Kids Discover Success Therapeutics, Llc 9240 N 60th St Brown Deer WI 53223-1502 Ph: (414) 303-4505 |
NPI Number | 1376942557 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 08/14/2014 |
Identifier | Type | State | Issuer |
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1376942557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2064 (Wisconsin) | Primary |
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