Organization
MARQUETTE COUNTY DEPARTMENT OF HUMAN SERVICES-CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY STANLEY (DIRECTOR)
(608) 297-3123
Entity
Organization
Contact information
Practice address
480 UNDERWOOD AVE, MONTELLO, WI 53949-9248
(608) 297-3124
Mailing address
PO BOX 405, MONTELLO, WI 53949-0405
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
08/06/2015
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