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Organization

CHILDYNAMICS, LLC HEALTH CHECK SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISABELA SARDAS PHD (PHD)
(414) 258-4318
Entity
Organization

Contact information

Practice address
11904 W NORTH AVE, SUITE 110, WAUWATOSA, WI 53226-2062
(414) 258-4318
Mailing address
11904 W NORTH AVE, SUITE 110, WAUWATOSA, WI 53226-2062
(414) 258-4318

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41872700
WI
Enumeration date
04/24/2008
Last updated
04/24/2008
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