Organization
WING OF EAGLES CORP
Active
Other names
Wings Of Eagles Counseling Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE C OUSLEY MA LPC (COUNSELOR)
(920) 228-3199
Entity
Organization
Contact information
Practice address
217 N MADISON ST, SUITE 4, GREEN BAY, WI 54301-5103
(920) 227-7078
(920) 273-8847
Mailing address
217 N MADISON ST, SUITE 4, GREEN BAY, WI 54301-5103
(920) 227-7078
(920) 273-8847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/14/2014
Last updated
01/26/2016
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