Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY OERTER (INTERIM DIRECTOR OF COUNSELING)
(414) 266-2912
Entity
Organization
Contact information
Practice address
8800 WASHINGTON AVE, SUITE 100, MOUNT PLEASANT, WI 53406-3701
(262) 633-3591
(262) 633-2619
Mailing address
8800 WASHINGTON AVE, SUITE 100, MOUNT PLEASANT, WI 53406-3701
(262) 633-3591
(262) 633-2619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42136500
—
WI
Enumeration date
04/17/2008
Last updated
03/12/2015
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