Individual
LISA JO WEBER SEDLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020
(715) 294-4752
Mailing address
PO BOX 217, SOMERSET, WI 54025-0217
(715) 247-2802
(715) 247-2802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1054
MN
106H00000X
Marriage & Family Therapist
Primary
660124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506S1SE
BLUE CROSS BLUE SHIELD
MN
01
—
6268361
UNITED HEALTHCARE - MEDICA
—
01
—
810583378018
ANTHEM BLUE CROSS
WI
01
—
91529
HEALTH PARTNERS
MN
Enumeration date
06/19/2008
Last updated
06/02/2009
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