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1073788386
JOSEPH JOHN WITTENBERG
COON RAPIDS, MN
NPI
1073788386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 15449)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
Mr. JOSEPH JOHN WITTENBERG LICSW
11220 CROCUS ST NW
COON RAPIDS, MN 55433
Phone number: 763-767-4702
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Mailing Address
Mr. JOSEPH JOHN WITTENBERG LICSW
11220 CROCUS ST NW
COON RAPIDS, MN 55433
Phone number: 763-767-4702
Copy
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