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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
DR. RON PUPP PHD (DIRECTOR OF COUNSELING)
(414) 231-4808
Entity
Organization
Contact information
Practice address
325 N COMMERCIAL ST, SUITE 400, NEENAH, WI 54956-2665
(920) 969-5320
(920) 969-7975
Mailing address
325 N COMMERCIAL ST, SUITE 400, NEENAH, WI 54956-2665
(920) 969-5320
(920) 969-7975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42137700
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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