Organization
MARQUETTE COUNTY DHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY STANLEY (DIRECTOR)
(608) 297-3124
Entity
Organization
Contact information
Practice address
428 UNDERWOOD AVE, MONTELLO, WI 53949-9248
(608) 297-3124
Mailing address
428 UNDERWOOD AVE, PO BOX 405, MONTELLO, WI 53949-9248
(608) 297-3124
(608) 297-8718
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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