TRAVIS JON FORST

WAUSAU, WI
NPI1134386758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  6815-123)
Enumeration Date2008-05-21
Last Update Date2008-05-21
Business Address
Mr. TRAVIS JON FORST MSW, LCSW
903 2ND ST
WAUSAU, WI 54403-4705
Phone number: 715-842-3346
Mailing Address
Mr. TRAVIS JON FORST MSW, LCSW
903 2ND ST
WAUSAU, WI 54403-4705
Phone number: 715-842-3346
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