Organization
BAD RIVER SOCIAL & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESIE LEOSO (DIRECTOR)
(715) 682-7127
Entity
Organization
Contact information
Practice address
72772 ELM STREET, ODANAH, WI 54861
(715) 682-7127
(715) 682-7883
Mailing address
PO BOX 55, ODANAH, WI 54861-0055
(715) 682-7127
(715) 682-7883
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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