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1649686973
DAVID TICE
WAUSAU, WI
NPI
1649686973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 5350-125)
Enumeration Date
2014-07-08
Last Update Date
2014-09-09
Business Address
-- DAVID TICE MS, LPC
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
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Mailing Address
-- DAVID TICE MS, LPC
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
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