Heather Marie Kingslien BS

NPI 1043337579 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1043337579
Gender Female
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1407 SAINT ANDREW ST STE 100
LA CROSSE WI, 54603-2378, US
Phone (608) 785-6277
Fax
Business Location
214 24TH ST S
LA CROSSE WI, 54601-4304, US
Phone (608) 780-1399
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Wisconsin
License Number 9365-120
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According to our database, Heather Marie Kingslien BS NPI is 1043337579, taxonomy code is 171M00000X and license number is 9365-120, license state is located at Wisconsin. Heather Marie Kingslien BS physically located at 1407 Saint Andrew St Ste 100, La Crosse WI, 54603-2378. NPI Number Heather Marie Kingslien BS has the Individual type.

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1043337579 NPI number is provided on an as is basis without warranty of any kind. 1043337579 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Marie Kingslien BS are for informational purposes only.