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1114240579
CANDACE JEAN NEIS-WAGNER
WAUWATOSA, WI
NPI
1114240579
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Former Name
CANDACE JEAN NEIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7566-123)
Enumeration Date
2010-03-12
Last Update Date
2023-10-31
Business Address
CANDACE JEAN NEIS-WAGNER LCSW
3040 N 117TH ST STE 100
WAUWATOSA, WI 53222-4128
Phone number: 414-337-8988
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Mailing Address
CANDACE JEAN NEIS-WAGNER LCSW
3040 N 117TH ST STE 100
WAUWATOSA, WI 53222-4128
Phone number: 414-337-8988
Copy
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