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Organization
FAMILY SERVICES OF NORTHEAST WI, INC
Active
Organization
FAMILY SERVICES OF NORTHEAST WI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE K JENSEN LPC (LICENSED PROFESSIONAL COUNSELOR)
(920) 330-0339
Entity
Organization
Contact information
Practice address
3430 SPIRIT WAY, GREEN BAY, WI 54304-5687
(920) 330-0339
Mailing address
3430 SPIRIT WAY, GREEN BAY, WI 54304-5687
(920) 330-0339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3851-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43713200
—
WI
Enumeration date
09/17/2007
Last updated
09/17/2007
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