Organization
ASSURED CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDACE E COATES MSW (THERAPIST)
(414) 810-2715
Entity
Organization
Contact information
Practice address
1845 N FARWELL AVE, SUITE 203, MILWAUKEE, WI 53202-1793
(414) 810-2715
Mailing address
PO BOX 14781, MILWAUKEE, WI 53214-0781
(414) 810-2715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8053
WI
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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