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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