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Organization

DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS

Active
Parent organization
DOOR COUNTY COMMUNITY SUPPORT PROGRAM
Other names
Door County Community Support Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
DOOR COUNTY COMMUNITY SUPPORT PROGRAM
Authorized official
MS. SHERYL FAYE FLORES LCSW (CSP COORDINATOR)
(920) 746-2345
Entity
Organization

Contact information

Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-2345
(920) 746-2439
Mailing address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-2345
(920) 746-2439

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1510-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39693300
WI
Enumeration date
08/27/2008
Last updated
08/27/2008
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