Organization
WISE MIND MENTAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA KAY FABER MSW (MEMBER/MANAGER)
(715) 384-0080
Entity
Organization
Contact information
Practice address
601 E 3RD ST, MARSHFIELD, WI 54449-4512
(715) 384-0080
(715) 384-0090
Mailing address
601 E 3RD ST, MARSHFIELD, WI 54449-4512
(715) 384-0080
(715) 384-0090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4342
WI
Other
Enumeration date
12/02/2013
Last updated
04/01/2014
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