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1396176129
JOHN WAGENKNECHT
EAU CLAIRE, WI
NPI
1396176129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7214-123)
Enumeration Date
2013-12-04
Last Update Date
2013-12-04
Business Address
Mr. JOHN WAGENKNECHT LCSW
2925 MONDOVI RD
EAU CLAIRE, WI 54701-6141
Phone number: 715-832-0238
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Mailing Address
Mr. JOHN WAGENKNECHT LCSW
6981 TIMBER RIDGE CIR
EAU CLAIRE, WI 54701-8909
Phone number: 715-577-7130
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