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1245414077
WALTER MIRK
MADISON, WI
NPI
1245414077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 114-123)
Enumeration Date
2007-12-28
Last Update Date
2007-12-28
Business Address
-- WALTER MIRK MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
-- WALTER MIRK MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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