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Organization
CHILDRENS SERVICE SOCIETY
Active
Organization
CHILDRENS SERVICE SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON PUPP (SUPERVISOR)
(715) 387-2729
Entity
Organization
Contact information
Practice address
503 S CHERRY AVE, MARSHFIELD, WI 54449-4263
(715) 387-2729
Mailing address
503 S CHERRY AVE, MARSHFIELD, WI 54449-4263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3198-125
WI
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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