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1508099698
MICHAEL JOHN MANDLI
WAUWATOSA, WI
NPI
1508099698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 1445-057)
Enumeration Date
2009-08-24
Last Update Date
2009-08-24
Business Address
DR. MICHAEL JOHN MANDLI PH.D.
10265 WEST NORTH AVE SUITE 103
WAUWATOSA, WI 53226
Phone number: 414-617-2656
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Mailing Address
DR. MICHAEL JOHN MANDLI PH.D.
W158N10263 MOHAWK DR
GERMANTOWN, WI 53022-4853
Phone number: 414-617-2656
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