Organization
SAUK COUNTY DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA K DIETZ (BUSINESS MANAGER HCC)
(608) 524-7500
Entity
Organization
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4242
(608) 355-4299
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
(608) 355-4242
(608) 355-4299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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