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Organization

VALLEY BIRCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWN NIXON PSY.D. (OWNER)
(715) 779-5678
Entity
Organization

Contact information

Practice address
249 RITTENHOUSE AVENUE, BAYFIELD, WI 54814
(715) 779-5678
Mailing address
PO BOX 654, BAYFIELD, WI 54814-0654

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
280957
WI

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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