Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY OERTER (INTERIM DIRECTOR OF COUNSELING)
(414) 266-2912
Entity
Organization
Contact information
Practice address
601 S CENTRAL AVE, SUITE 200, MARSHFIELD, WI 54449-4104
(715) 387-2729
(715) 387-4526
Mailing address
601 S CENTRAL AVE, SUITE 200, MARSHFIELD, WI 54449-4104
(715) 387-2729
(715) 387-4526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42202600
—
WI
Enumeration date
04/17/2008
Last updated
12/05/2013
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