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1134125149
RICHARD L LISTIAK
LA CROSSE, WI
NPI
1134125149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: WI 455)
Enumeration Date
2005-06-23
Last Update Date
2016-04-19
Business Address
-- RICHARD L LISTIAK PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
-- RICHARD L LISTIAK PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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