Organization
LA CROSSE CENTER FOR CHILDREN AND FAMILIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIP H ZIRKEL PH.D. (PSYCHOLOGIST)
(608) 788-9941
Entity
Organization
Contact information
Practice address
2920 EAST AVE S, LA CROSSE, WI 54601-8231
(608) 788-9941
(608) 785-0002
Mailing address
W5927 HILLCREST DR, LA CROSSE, WI 54601-8451
(608) 788-9941
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
781
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39018600
—
WI
Enumeration date
03/10/2010
Last updated
03/10/2010
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