NPI | 1992061022 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE MARIE VANDER WIELEN Owner 920-915-7198 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7710-123) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2022-12-12 |