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Organization

ST. ROSE YOUTH AND FAMILY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA WALDRON MSW (CLINICAL COORDINATOR)
(414) 466-9450
Entity
Organization

Contact information

Practice address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450
Mailing address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/15/2014
Last updated
07/15/2014
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