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4330 Golf Ter Ste 202 Eau Claire WI 54701-4688 | |
| (715) 559-9428 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4330 Golf Ter Ste 202, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Sara Bowe (OWNER) |
| Authorized Official Contact | 7155599428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4330 Golf Ter Ste 202 Eau Claire WI 54701-4688 Ph: (715) 559-9428 | 4330 Golf Ter Ste 202 Eau Claire WI 54701-4688 Ph: (715) 559-9428 |
| NPI Number | 1053037200 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053037200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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