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1093587974
BRANDON NITE
WAUSAU, WI
NPI
1093587974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 11641-123)
Enumeration Date
2023-10-24
Last Update Date
2024-03-12
Business Address
BRANDON NITE LCSW
2102 N 6TH ST
WAUSAU, WI 54403-3438
Phone number: 208-403-9508
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Mailing Address
BRANDON NITE LCSW
505 1/2 S WEBB ST
WITTENBERG, WI 54499-9147
Phone number:
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