Lutheran Counseling And Family Services Wisconsin | |
3800 N Mayfair Rd Wauwatosa WI 53222-2213 | |
(414) 536-8333 | |
(414) 536-8348 |
Full Name | Lutheran Counseling And Family Services Wisconsin |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 3800 N Mayfair Rd, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Deb Raeburn (CEO) |
Authorized Official Contact | 4145368334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lutheran Counseling And Family Services Wisconsin 3800 N Mayfair Rd Wauwatosa WI 53222-2213 Ph: (414) 536-8333 | Lutheran Counseling And Family Services Wisconsin 3800 N Mayfair Rd Wauwatosa WI 53222-2213 Ph: (414) 536-8333 |
NPI Number | 1033661830 |
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Provider Enumeration Date | 10/27/2016 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
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1033661830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | 6102 (Wisconsin) | Primary |
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