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Organization

CLOVER FAMILY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEE R GLOWACKI MA (CEO/OWNER)
(608) 218-4462
Entity
Organization

Contact information

Practice address
23 W MILWAUKEE ST, JANESVILLE, WI 53548-2981
(608) 448-6116
(608) 544-8110
Mailing address
21 W MILWAUKEE ST # 103, JANESVILLE, WI 53548-2911
(608) 218-4462
(608) 544-8110

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
373H00000X
Day Training/Habilitation Specialist
Primary
385HR2050X
Respite Care Camp

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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