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3378 N. Schilleman Rd Lac Du Flambeau WI 54538-0815 | |
(715) 388-0762 | |
(715) 588-1889 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3378 N. Schilleman Rd, Lac Du Flambeau, Wisconsin |
Authorized Official Name and Position | Pamela Ahlborn (COMPLIANCE & CONTRACT COORDINATOR) |
Authorized Official Contact | 7155884422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 815 Lac Du Flambeau WI 54538-0815 Ph: (715) 588-4422 | 3378 N. Schilleman Rd Lac Du Flambeau WI 54538-0815 Ph: (715) 388-0762 |
NPI Number | 1669970729 |
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Provider Enumeration Date | 01/24/2018 |
Last Update Date | 09/13/2018 |
Identifier | Type | State | Issuer |
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1669970729 | NPI | - | NPPES |