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Organization

COUNTY OF IRON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN KOLSON-JANOV (DIRECTOR)
(715) 561-3636
Entity
Organization

Contact information

Practice address
300 TACONITE ST, STE 201, HURLEY, WI 54534-1546
(715) 561-3636
(715) 561-2128
Mailing address
300 TACONITE ST, STE 201, HURLEY, WI 54534-1546
(715) 561-3636
(715) 561-2128

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2347
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32771700
WI
05
42225100
WI
05
43081900
WI
Enumeration date
04/18/2007
Last updated
10/14/2013
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