| NPI | 1417160953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E. WILLOUGHBY Partner 715-833-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2375-057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6585-123) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |