Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA RANGEL (INSURANCE COORDINATOR)
(622) 345-5533
Entity
Organization
Contact information
Practice address
4045 LANCER CIR, MANITOWOC, WI 54220-2336
(800) 438-1772
(262) 293-9737
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 345-5562
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42171800
—
WI
Enumeration date
11/01/2018
Last updated
11/13/2018
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