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Organization
COUNTY OF GRANT DBA UNIFIED COMMUNITY SERVICES
Active
Organization
COUNTY OF GRANT DBA UNIFIED COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SHANNON-RINK (AGENCY DIRECTOR)
(608) 723-6357
Entity
Organization
Contact information
Practice address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Mailing address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42127200
—
WI
05
—
42149100
—
WI
Enumeration date
10/22/2014
Last updated
10/30/2014
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