NPI 1013153139

William Owen Innes, BSW

Practitioner Case Manager/Care Coordinator La Crosse, WI

Practice location

Address: 1407 Saint Andrew St Suite 100, La Crosse, WI 54603-3301
Phone: (608) 785-5765
Mailing address: 136 West Ave N, West Salem, WI 54669-1406

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 504-120 (WI)

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Registry record

NPI: 1013153139
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2008
Record last updated: 18 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.