DANE JUSULA

CHIPPEWA FALLS, WI
NPI1770002214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  8737-123)
Enumeration Date2017-09-15
Last Update Date2017-09-15
Business Address
DANE JUSULA LCSW
475 CHIPPEWA MALL DR
CHIPPEWA FALLS, WI 54729-5034
Phone number: 715-720-3780
Mailing Address
DANE JUSULA LCSW
1639 PAVELSKI RD
EAU CLAIRE, WI 54703-9047
Phone number: 705-661-2983