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Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TREGLOWNE (CHIEF OPERATING OFFICER)
(414) 246-2300
Entity
Organization
Contact information
Practice address
1850 CRANSTON RD, BELOIT, WI 53511-2544
(833) 420-1103
(608) 752-9788
Mailing address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
(414) 246-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2872
WI
101YM0800X
Mental Health Counselor
Primary
2872
WI
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386719177
—
WI
Enumeration date
03/26/2013
Last updated
01/06/2025
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