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Organization
CHILD AND FAMILY CONSULTANTS
Active
Organization
CHILD AND FAMILY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KAY ROTHERHAM M.S. (OWNER/THERAPIST/PRESIDENT)
(920) 497-0788
Entity
Organization
Contact information
Practice address
840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
(920) 497-0788
(920) 497-0792
Mailing address
840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
(920) 497-0788
(920) 497-0792
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
40554-020
WI
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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