Organization
WELLNESS PATH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY BAMBERG LCSW (CLINICAL SOCIAL WORKER)
(920) 428-4298
Entity
Organization
Contact information
Practice address
404 N MAIN ST STE 503, OSHKOSH, WI 54901-4952
(920) 937-0115
Mailing address
1037 CARRIAGE LN, FOND DU LAC, WI 54935-6556
(920) 428-4298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
04/15/2024
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