CHARLES MATHEW LODL

MEQUON, WI
NPI1033132899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: WI  857-057)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. CHARLES MATHEW LODL Ph.D.
11501 N PORT WASHINGTON RD SUITE 210
MEQUON, WI 53092-3466
Phone number: 262-241-8901
Mailing Address
Dr. CHARLES MATHEW LODL Ph.D.
11501 N PORT WASHINGTON RD SUITE 210
MEQUON, WI 53092-3466
Phone number: 262-241-8901
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