Provider First Line Business Practice Location Address:
505 BROADWAY
Provider Second Line Business Practice Location Address:
SAUK COUNTY DEPT. OF HUMAN SERVICES
Provider Business Practice Location Address City Name:
BARABOO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-355-4213
Provider Business Practice Location Address Fax Number:
608-355-4299
Provider Enumeration Date:
02/26/2020