Organization
AUTISM SOCIETY OF GREATER WISCONSIN
Active
Other names
Autism Society of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRODHAGEN (OFFICE MANAGER)
(920) 558-4602
Entity
Organization
Contact information
Practice address
1477 KENWOOD DR STE 100, MENASHA, WI 54952-1160
(920) 558-4602
(920) 558-4611
Mailing address
1477 KENWOOD DR STE 100, MENASHA, WI 54952-1160
(920) 558-4602
(920) 558-4611
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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