Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Social Worker |
104100000X |
| NPI Number | 1033595319 |
||||
| LBN Legal business name | WISCONSIN LUTHERAN CHILD & FAMILY SERVICE INC. | ||||
| Authorized official | ANDREA SEMMANN - (OPERATIONS DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/10/2015 | ||||
| Last updated | 02/04/2022 - About 4 years ago | ||||
| Identifiers |
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