Southwestern Wi Communty Action Program
NPI #1649536442 in Platteville, Wisconsin
Provider Information
- NPI Number
- 1649536442
- Entity Type
- Organization
- Organization Name
- Southwestern Wi Communty Action Program
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 5, 2012
- Last Updated
- Apr 5, 2012
Practice Location
- Address
- 275 W MAIN ST
- City
- Platteville
- State
- Wisconsin
- ZIP Code
- 53818-3110
- Phone
- (608) 348-9766
Authorized Official
- Name
- JACQUELYNE ANNE BODDEN, NP
- Title
- PROGRAM DIRECTOR/NURSE PRACTITIONER
- Phone
- (608) 348-9766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center |
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