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1134386758
TRAVIS JON FORST
WAUSAU, WI
NPI
1134386758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 6815-123)
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
Mr. TRAVIS JON FORST MSW, LCSW
903 2ND ST
WAUSAU, WI 54403-4705
Phone number: 715-842-3346
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Mailing Address
Mr. TRAVIS JON FORST MSW, LCSW
903 2ND ST
WAUSAU, WI 54403-4705
Phone number: 715-842-3346
Copy
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