DEREK JEREMY JOHN

WAUSAU, WI
NPI1912926601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WI  2306-057)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
DR. DEREK JEREMY JOHN PHD
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
Mailing Address
DR. DEREK JEREMY JOHN PHD
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
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