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1124225503
LIFE SKILLS SUPPORT CENTER OF EAU CLAIRE, LTD.
EAU CLAIRE, WI
NPI
1124225503
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Entity Type
Organization
Authorized Contact
NINO A VIDIC
Owner
505-730-2947
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2007-06-29
Last Update Date
2007-07-18
Business Address
LIFE SKILLS SUPPORT CENTER OF EAU CLAIRE, LTD.
4907 KEYSTONE XING
EAU CLAIRE, WI 54701-5144
Phone number: 505-730-2947
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Mailing Address
LIFE SKILLS SUPPORT CENTER OF EAU CLAIRE, LTD.
4907 KEYSTONE XING
EAU CLAIRE, WI 54701-5144
Phone number: 715-514-0340
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