Organization
LUTHERAN COUNSELING AND FAMILY SERVICES WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEB RAEBURN LPC (CEO)
(414) 536-8334
Entity
Organization
Contact information
Practice address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
(414) 536-8348
Mailing address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
(414) 536-8348
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6102
WI
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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