Organization
KIM LAGRO COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LOUISE LAGRO LICSW/ LCSW (OWNER)
(715) 256-8907
Entity
Organization
Contact information
Practice address
2207 E 5TH ST, SUPERIOR, WI 54880-3780
(715) 256-8907
(715) 256-8906
Mailing address
4099 E LEGGATE RD, SUPERIOR, WI 54880-8347
(715) 817-0209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
02/06/2022
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