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Organization

LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS

Active
Other names
LDFHHS Provider Network
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY J ERNST PHD,LMSW-ACP (HUMAN SERVICES DIRECTOR)
(715) 588-1511
Entity
Organization

Contact information

Practice address
533 PEACE PIPE RD, LAC DU FLAMBEAU, WI 54538-9123
(715) 588-1511
Mailing address
533 PEACE PIPE RD, PO BOC 189, LAC DU FLAMBEAU, WI 54538-9123
(715) 588-1511

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3071
WI

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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