Most Relevant Information
Provider Data
| NPI Number: | 1003079708 |
| Provider Name: | CHARLES D LIPFORD CSAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 302375 |
Most Important Dates
| Enumeration Date: | 07/03/2008 |
| Last Updated: | 06/30/2009 |
Provider Practice Location
220 E LA CROSSE ST.
JUNEAU COUNTY HUMAN SERVICES
MAUSTON
WI
539482101
Practice Location Phone/Fax
| Phone: | 6088472400 |
| Fax: | 6088479599 |
Provider Mailing Location
220 E LA CROSSE ST.
JUNEAU COUNTY HUMAN SERVICES
MAUSTON
WI
539482101
Provider Mailing Phone/Fax
| Phone: | 6088472400 |
| Fax: | 6088479599 |