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Organization
CENTER FOR HUMAN DEVELOPMENT, INC.
Active
Organization
CENTER FOR HUMAN DEVELOPMENT, INC.
Active
Other names
Center for Human Development
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMUND LEE WEBSTER MSW, LCSW (DIRECTOR)
(715) 842-0944
Entity
Organization
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Mailing address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008111
CIGNA BEHAVIORAL HEALTH
—
01
—
305912
MHN
—
05
—
42135100
—
WI
01
—
62743
MULTIPLAN/WPPN
WI
01
—
DA2153
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
09/02/2014
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