# WASHINGTON COUNTY WISCONSIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington County WIC Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831437631
- **Authorized official:** HERB TENNIES (WASHINGTON COUNTY BOARD CHAIRMAN)
- **Authorized official phone:** (262) 335-4307

## Contact information

- **Practice address:** 333 E WASHINGTON ST, SUITE 1100, WEST BEND, WI 53095-2585
- **Practice address phone:** (262) 335-4741
- **Practice address fax:** (262) 365-5015
- **Mailing address:** 333 E WASHINGTON ST, SUITE 1100, WEST BEND, WI 53095-2585
- **Mailing address phone:** (262) 335-4741
- **Mailing address fax:** (262) 365-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 01/29/2013