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Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY OERTER (INTERIM DIRECTOR OF COUNSELING)
(414) 266-2912
Entity
Organization
Contact information
Practice address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42155200
—
WI
Enumeration date
08/14/2006
Last updated
12/05/2013
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