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Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC
Active
Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC
Active
Other names
Christian Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MYLES TONNACLIFF LP (PROVIDER SERVICE DIRECTOR)
(262) 345-5560
Entity
Organization
Contact information
Practice address
2777 HARDIN ST, SAGINAW, MI 48602-3710
(800) 435-1772
(262) 293-9737
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007044
MI
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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