Most Relevant Information
Provider Data
| NPI Number: | 1003635954 |
| Provider Name: | BETH E ACHTOR-LODER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/08/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
10592 MAIN STREET
HAYWARD
WI
54843
Practice Location Phone/Fax
| Phone: | 7156996062 |
| Fax: |
Provider Mailing Location
16043 JOHNSON ST
HAYWARD
WI
548437118
Provider Mailing Phone/Fax
| Phone: | 7156996062 |
| Fax: |