| Wisconsin Lutheran Child & Family Service, Inc. | |
|
4045 Lancer Cir Manitowoc WI 54220-2336 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Wisconsin Lutheran Child & Family Service, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4045 Lancer Cir, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Linda Rangel (INSURANCE COORDINATOR) |
| Authorized Official Contact | 6223455533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Lutheran Child & Family Service, Inc. W175n11120 Stonewood Dr Germantown WI 53022-6511 Ph: (800) 438-1772 | Wisconsin Lutheran Child & Family Service, Inc. 4045 Lancer Cir Manitowoc WI 54220-2336 Ph: (800) 438-1772 |
| NPI Number | 1225505829 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225505829 | NPI | - | NPPES |
| 42171800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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