Wisconsin Lutheran Child & Family Servic, Ince

NPI #1497298582 in Boise, Idaho

Provider Information

NPI Number: 1497298582
Entity Type: Organization
Organization Name: Wisconsin Lutheran Child & Family Servic, Ince
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 22, 2016
Last Updated: Nov 22, 2016

Practice Location

Address: 11655 W MCMILLAN RD
City: Boise
State: Idaho
ZIP Code: 83713-2648
Phone: (800) 438-1772

Authorized Official

Name: LINDA RANGEL
Title: INSURANCE COORDINATOR
Phone: (262) 345-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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