Individual
LISA R ZILLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
W11404 SPRING CREEK RD, #31, BLACK RIVER FALLS, WI 54615-5980
(715) 284-5697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
11111-120
WI
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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