Provider First Line Business Practice Location Address:
220 E LA CROSSE ST
Provider Second Line Business Practice Location Address:
JUNEAU COUNTY HUMAN SERVICES
Provider Business Practice Location Address City Name:
MAUSTON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53948-2101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-847-2400
Provider Business Practice Location Address Fax Number:
608-847-9599
Provider Enumeration Date:
04/28/2006