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1407918998
TIMOTHY JOHN KOLLER
WAUSAU, WI
NPI
1407918998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 2649-125)
Enumeration Date
2006-12-14
Last Update Date
2008-11-11
Business Address
Mr. TIMOTHY JOHN KOLLER MS, LPC
401 5TH ST STE 235
WAUSAU, WI 54403-5470
Phone number: 715-849-3311
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Mailing Address
Mr. TIMOTHY JOHN KOLLER MS, LPC
PO BOX 1127
SHEBOYGAN, WI 53082-1127
Phone number: 920-457-6750
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