Provider Demographics
NPI:1629226162
Name:FRANCIS, DAWN (CADC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-3805
Mailing Address - Country:US
Mailing Address - Phone:920-830-1750
Mailing Address - Fax:920-830-1770
Practice Address - Street 1:720 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3805
Practice Address - Country:US
Practice Address - Phone:920-830-1750
Practice Address - Fax:920-830-1770
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14387-132171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator