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1033560016
JOHANNA MANTHEY
FOND DU LAC, WI
NPI
1033560016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 8142)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
JOHANNA MANTHEY LCSW
74 S MAIN ST STE 103
FOND DU LAC, WI 54935-4274
Phone number: 920-204-1572
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Mailing Address
JOHANNA MANTHEY LCSW
74 S MAIN ST STE 103
FOND DU LAC, WI 54935-4274
Phone number:
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