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1134586779
JAMES K DERCKS
MENASHA, WI
NPI
1134586779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 6749)
Enumeration Date
2016-01-27
Last Update Date
2017-12-12
Business Address
JAMES K DERCKS LPC
1810 APPLETON RD
MENASHA, WI 54952-1110
Phone number: 920-739-4226
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Mailing Address
JAMES K DERCKS LPC
1810 APPLETON RD
MENASHA, WI 54952-1110
Phone number: 920-739-4226
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