Organization
MILKWEED CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ELIZABETH LAIRD (ADMINISTRATOR)
(715) 619-6502
Entity
Organization
Contact information
Practice address
1700 TAINTER ST STE D, MENOMONIE, WI 54751-1358
(715) 619-6502
Mailing address
PO BOX 305, MENOMONIE, WI 54751-0305
(715) 619-6502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100073104
WPI
WI
Enumeration date
06/26/2020
Last updated
06/26/2020
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