| Wise Mind Mental Health Clinic, Llc | |
|
601 E 3rd St Marshfield WI 54449-4512 | |
| (715) 384-0080 | |
| (715) 384-0090 |
| Full Name | Wise Mind Mental Health Clinic, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 601 E 3rd St, Marshfield, Wisconsin |
| Authorized Official Name and Position | Patricia Kay Faber (MEMBER/MANAGER) |
| Authorized Official Contact | 7153840080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Mental Health Clinic, Llc 601 E 3rd St Marshfield WI 54449-4512 Ph: (715) 384-0080 | Wise Mind Mental Health Clinic, Llc 601 E 3rd St Marshfield WI 54449-4512 Ph: (715) 384-0080 |
| NPI Number | 1215368139 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215368139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4342 (Wisconsin) | Primary |
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