Organization
SEED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA DEVINE MT-BC, LCSW (OFFICE ADMINISTRATOR)
(920) 284-0891
Entity
Organization
Contact information
Practice address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
(800) 791-3601
Mailing address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
(800) 791-3601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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