Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIE HERSRUD MSW, LCSW (AREA SUPERVISOR)
(715) 835-5915
Entity
Organization
Contact information
Practice address
2004 HIGHLAND AVE STE M, EAU CLAIRE, WI 54701-4389
(715) 835-5915
(715) 835-8112
Mailing address
2004 HIGHLAND AVE STE M, EAU CLAIRE, WI 54701-4389
(715) 835-5915
(715) 835-8112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1186
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42126300
—
WI
Enumeration date
04/01/2008
Last updated
04/25/2022
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