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General NPI Number Information
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NPI Number | 1356251979
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Entity Type | Organization
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Legal Business Name | MIDDLE PATH WELLNESS LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 21 W OMAHA ST
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City | WASHBURN
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State | WI
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Zip | 54891-4557
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Country | US
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Telephone | 715-260-4867
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Fax | 715-200-5008
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Provider Business Mailing Address
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Address Line | PO BOX 291
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City | MANITOWISH WATERS
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State | WI
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Zip | 54545-0291
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Country | US
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Telephone | 715-260-4867
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Fax | 715-200-5008
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Authorized Official
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Title or Position | THERAPIST/SOCIAL WORKER
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Name | LISA LUDWIG
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Credential | LCSW
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Telephone | 262-347-6430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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