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Organization
ARBOR PLACE, INC.
Active
Organization
ARBOR PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GAMEZ (EXECUTIVE DIRECTOR)
(715) 235-4537
Entity
Organization
Contact information
Practice address
4076 KOTHLOW AVE, MENOMONIE, WI 54751-3090
(715) 235-4537
(715) 235-4535
Mailing address
4076 KOTHLOW AVE, MENOMONIE, WI 54751-3090
(715) 235-4537
(715) 235-4535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1050
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42148200
—
WI
Enumeration date
03/09/2017
Last updated
03/09/2017
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