Organization
WASHINGTON CO DEPT OF SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F BLOEDORN (DIRECTOR)
(262) 335-4617
Entity
Organization
Contact information
Practice address
333 E. WASHINGTON STREET, SUITE 3100, WEST BEND, WI 53095
(262) 335-4610
Mailing address
333 E. WASHINGTON STREET, SUITE 3100 PO BOX 2003, WEST BEND, WI 53095
(262) 335-4610
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43423900
—
WI
Enumeration date
08/05/2006
Last updated
08/22/2020
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