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1738 Brackett Ave Eau Claire WI 54701-4626 | |
| (715) 864-6386 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1738 Brackett Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Cynthia A Hunt (PART OWNER) |
| Authorized Official Contact | 7155142535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1738 Brackett Ave Eau Claire WI 54701-4626 Ph: (715) 864-6386 | 1738 Brackett Ave Eau Claire WI 54701-4626 Ph: (715) 864-6386 |
| NPI Number | 1679023576 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 11/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679023576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4108-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7633-123 (Wisconsin) | Primary |
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