Lutheran Social Services of Upper Michigan
NPI #1558695304 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1558695304
- Entity Type
- Organization
- Organization Name
- Lutheran Social Services of Upper Michigan
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 28, 2009
- Last Updated
- Sep 28, 2009
Practice Location
- Address
- 131 S,. MAIN STREET
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935
- Phone
- (920) 730-1349
Authorized Official
- Name
- MS. VICKY ANN THULL, SAC-IT
- Title
- SUBSTANCE ABUSE COUNSELOR-I T
- Phone
- (920) 924-5222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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