Individual
LINDA MARIE LARSON SCHLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
701 S 5TH AVE, WAUSAU, WI 54401-5305
(715) 212-2339
Mailing address
701 S 5TH AVE, WAUSAU, WI 54401-5305
(715) 212-2339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
679-122
WI
171M00000X
Case Manager/Care Coordinator
1854-125
WI
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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