Wisconsin Lutheran Child &famliy Service, INC

NPI #1164808390 in Plymouth, Minnesota

Provider Information

NPI Number
1164808390
Entity Type
Organization
Organization Name
Wisconsin Lutheran Child &famliy Service, INC
Primary Specialty
Psychologist
Enumeration Date
Aug 11, 2015
Last Updated
Aug 11, 2015

Practice Location

Address
3350 HARBOR LN N
ZIP Code
55447-5255
Phone
(800) 438-1772

Authorized Official

Name
ANDREA SEMMANN
Title
OPERATIONS DIRECTOR
Phone
(262) 345-5560

Specialties & Taxonomy Codes

Specialty
Psychologist

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