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Organization
ST CROIX COUNTY
Active
Organization
ST CROIX COUNTY
Active
Other names
St. Croix County Birth to Three
Organization subpart
No
Provider details
NPI number
Authorized official
FAY STRENKE (ACCOUNTS RECEIVABLE SUPERVISOR)
(715) 246-8217
Entity
Organization
Contact information
Practice address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-6991
(715) 246-8413
Mailing address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-6991
(715) 246-8413
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41211600
—
WI
Enumeration date
04/02/2019
Last updated
11/06/2020
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