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1104052554
ANTHONY DONALD WENDORF
RACINE, WI
NPI
1104052554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 5977-27)
Enumeration Date
2009-05-29
Last Update Date
2011-11-16
Business Address
Dr. ANTHONY DONALD WENDORF Psy.D.
840 LAKE AVENUE, SUITE 101
RACINE, WI 53403-1550
Phone number: 262-634-8688
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Mailing Address
Dr. ANTHONY DONALD WENDORF Psy.D.
426 ASPEN ST
JOHNSON CREEK, WI 53038-9454
Phone number: 262-719-0676
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