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1871706507
JAMES D WIEDENHOEFT
APPLETON, WI
NPI
1871706507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 2781-123)
Enumeration Date
2007-05-08
Last Update Date
2014-07-16
Business Address
Mr. JAMES D WIEDENHOEFT LCSW
1049 N LYNNDALE DR 1B
APPLETON, WI 54914-3050
Phone number: 262-345-5599
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Mailing Address
Mr. JAMES D WIEDENHOEFT LCSW
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-6511
Phone number: 262-345-5560
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