Organization
PROFESSIONAL FAMILY RESOURCES & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL SELL MA LMFT (OWNER/SOLO PRACTIONER)
(920) 434-7457
Entity
Organization
Contact information
Practice address
2300 LINEVILLE RD STE 200, GREEN BAY, WI 54313-8859
(920) 434-7457
(920) 434-7460
Mailing address
2300 LINEVILLE ROAD STE 201, GREEN BAY, WI 54313
(920) 434-7457
(920) 434-7460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
610-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39737600
—
WI
Enumeration date
10/10/2012
Last updated
10/10/2012
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