| NPI | 1912509316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON JO ALSLEBEN Licensed Clinical Social Worker 715-201-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2021-07-29 |