Most Relevant Information
Provider Data
NPI Number: | 1003196494 |
Provider Name: | DESIREE CIOKIEWICZ SAC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 15628-131 |
Most Important Dates
Enumeration Date: | 08/17/2011 |
Last Updated: | 08/17/2011 |
Provider Practice Location
2661 COUNTY HIGHWAY I
CHIPPEWA FALLS
WI
547295407
Practice Location Phone/Fax
Phone: | 7157235585 |
Fax: |
Provider Mailing Location
2661 COUNTY HIGHWAY I
CHIPPEWA FALLS
WI
547295407
Provider Mailing Phone/Fax
Phone: | 7157235585 |
Fax: |