| NPI | 1770548695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL FRAUNDORF Office Manager 715-423-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1082) |
| 103TC0700X Psychologist, Clinical (Licence: WI 2128) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2283) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-09-11 |