County of Waushara

NPI #1417120478 in Wautoma, Wisconsin

Provider Information

NPI Number
1417120478
Entity Type
Organization
Organization Name
County of Waushara
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Apr 10, 2008
Last Updated
Nov 7, 2024

Practice Location

Address
380 S TOWNLINE RD
ZIP Code
54982-6900
Phone
(920) 787-6550

Authorized Official

Name
JEN GONZALES
Title
ACCOUNT CLERK
Phone
(920) 787-6550

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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