Organization
OOBOODASH CARES WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH A CORMELL LCSW SAC (OWNER, PSYCHOTHERAPIST)
(715) 699-0026
Entity
Organization
Contact information
Practice address
10576 MAIN STREET, HAYWARD, WI 54843-6658
(715) 699-0026
(715) 934-2101
Mailing address
PO BOX 504, HAYWARD, WI 54843-0504
(715) 699-0026
(715) 934-2101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095789
—
WI
Enumeration date
01/30/2020
Last updated
01/30/2020
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