Northwest Wisconsin Community Services Agency Inc.

NPI 1053503946 - Case Management - 251B00000X

NPI Details
NPI 1053503946
Enumeration Date 08/14/2007
Last Updated 09/20/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ELIZABETH MARY
Position WIC PROGRAM DIRECTOR
Phone (715) 394-2750
Fax (715) 394-4651
Practice Location
1805 N 14TH ST STE 4
SUPERIOR WI, 54880-8802, US
Phone (715) 394-2750
Fax (715) 394-4651
Business Location
1805 N 14TH ST STE 4
SUPERIOR WI, 54880-8802, US
Phone (715) 394-2750
Fax (715) 394-4651
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Northwest Wisconsin Community Services Agency Inc. NPI is 1053503946, taxonomy code is 251B00000X Northwest Wisconsin Community Services Agency Inc. physically located at 1805 N 14th St Ste 4, Superior WI, 54880-8802. NPI Number 1033115704 has the healthcare provider type.

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1053503946 NPI number is provided on an as is basis without warranty of any kind. 1053503946 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Wisconsin Community Services Agency Inc. are for informational purposes only.