TIM VAN DER PERREN

OCONTO, WI
NPI1972615292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  1928-154)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- TIM VAN DER PERREN
501 PARK AVE
OCONTO, WI 54153-1612
Phone number: 920-834-6875
Mailing Address
-- TIM VAN DER PERREN
2543 TELLURIDE TRL APT C
GREEN BAY, WI 54313-3972
Phone number:
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