Individual
LINDA MARILYN WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6232
(608) 785-6315
Mailing address
1522 WESTON ST, LA CROSSE, WI 54601-6431
(608) 788-6937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8939-120
WI
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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