Locke Consulting Services Company | |
9020 15th Ave Kenosha WI 53143-6803 | |
(708) 224-7442 | |
Not Available |
Full Name | Locke Consulting Services Company |
---|---|
Speciality | Community/behavioral Health |
Location | 9020 15th Ave, Kenosha, Wisconsin |
Authorized Official Name and Position | Shellie Dee Locke (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7082247442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Locke Consulting Services Company 9020 15th Ave Kenosha WI 53143-6803 Ph: (708) 224-7442 | Locke Consulting Services Company 9020 15th Ave Kenosha WI 53143-6803 Ph: (708) 224-7442 |
NPI Number | 1184894628 |
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Provider Enumeration Date | 03/11/2008 |
Last Update Date | 03/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184894628 | NPI | - | NPPES |
40994300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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