JOHN CHARLES IVERSON

WAUKESHA, WI
NPI1497818520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: WI  1323)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
Dr. JOHN CHARLES IVERSON Ph.D.
500 RIVERVIEW AVE
WAUKESHA, WI 53188-3632
Phone number: 262-548-7665
Mailing Address
Dr. JOHN CHARLES IVERSON Ph.D.
16960 BURLEIGH PL
BROOKFIELD, WI 53005-2753
Phone number: 262-548-7665
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