Organization
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC
Active
Other names
Christian Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M RANGEL (INSURANCE PROVIDER COORDINATOR)
(414) 358-7812
Entity
Organization
Contact information
Practice address
9555 S HOWELL AVE, SUITE 750, OAK CREEK, WI 53154-5000
(414) 768-9979
(414) 768-9981
Mailing address
9555 S HOWELL AVE, SUITE 750, OAK CREEK, WI 53154-5000
(414) 768-9979
(414) 768-9981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1967-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42223600
—
WI
Enumeration date
11/28/2006
Last updated
02/01/2012
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