MARK MIXDORF

WAUSAU, WI
NPI1659387603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  2541-123)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- MARK MIXDORF ICSW
1100 LAKE VIEW DR
WAUSAU, WI 54403-6785
Phone number: 715-848-4600
Mailing Address
-- MARK MIXDORF ICSW
1100 LAKE VIEW DR
WAUSAU, WI 54403-6785
Phone number: 715-848-4600
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