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1396064911
MARK ERVIN MITTAG
EAU CLAIRE, WI
NPI
1396064911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-21
Last Update Date
2010-05-21
Business Address
Mr. MARK ERVIN MITTAG MS
2925 MONDOVI RD
EAU CLAIRE, WI 54701-6141
Phone number: 715-832-0238
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Mailing Address
Mr. MARK ERVIN MITTAG MS
2925 MONDOVI RD
EAU CLAIRE, WI 54701-6141
Phone number: 715-832-0238
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