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1770691164
JOHN PETER JENDUSA
GLENDALE, WI
NPI
1770691164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 2251-123)
Enumeration Date
2006-08-27
Last Update Date
2008-08-26
Business Address
Mr. JOHN PETER JENDUSA LCSW
5225 NORTH IRONWOOD ROAD 102
GLENDALE, WI 53217
Phone number: 414-962-9156
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Mailing Address
Mr. JOHN PETER JENDUSA LCSW
5225 NORTH IRONWOOD ROAD 102
GLENDALE, WI 53217
Phone number: 414-962-9156
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