Cass County Wic Program
NPI #1427262492 in Logansport, Indiana
Provider Information
- NPI Number
- 1427262492
- Entity Type
- Organization
- Organization Name
- Cass County Wic Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1700 DIVIDEND DR
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1572
- Phone
- (574) 753-4961
Authorized Official
- Name
- LYNN H. CLOTHIER
- Title
- CEO
- Phone
- (317) 576-1335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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