Provider First Line Business Practice Location Address:
3800 NO MAYFAIR RD
Provider Second Line Business Practice Location Address:
LUTHERAN COUNSELING & FAMILY SERVICES
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-536-8333
Provider Business Practice Location Address Fax Number:
414-536-8348
Provider Enumeration Date:
08/31/2006