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NPI Code Detail

MEDICARE: RENEE H. SLUSARSKI

MEDICARE: RENEE H. SLUSARSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor14106WI
21041C0700XClinical Social Worker7346-123WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518029974
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE H. SLUSARSKI
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 700 N WESTHAVEN DR
Second Line :
City : OSHKOSH
State : WI
Zip : 54904-6947
Country : US
Telephone Number : 920-456-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/03/2024

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Directions to “ RENEE H. SLUSARSKI ” Practice Location

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