Organization
ENTRUSTED COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILDRED MARIE SPANN LCSW (THERAPIST)
(262) 960-1548
Entity
Organization
Contact information
Practice address
2317 WEBSTER ST, RACINE, WI 53403-3056
(262) 960-1548
Mailing address
2317 WEBSTER ST, RACINE, WI 53403-3056
(262) 960-1548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7919-123
WI
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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