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1821568437
JOHN R CHESLOCK
GREEN BAY, WI
NPI
1821568437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 4107)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
JOHN R CHESLOCK MA, LPC-IT
626 S IRWIN AVE
GREEN BAY, WI 54301-3304
Phone number: 920-436-6800
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Mailing Address
JOHN R CHESLOCK MA, LPC-IT
PO BOX 22308
GREEN BAY, WI 54305-2308
Phone number: 920-436-6800
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