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Organization
MARRIAGE & FAMILY THERAPY CENTER
Active
Organization
MARRIAGE & FAMILY THERAPY CENTER
Active
Other names
Gerald J Wellens PhD
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY ROSE CREVIER (OFFICE ADMIN)
(920) 432-8777
Entity
Organization
Contact information
Practice address
735 E WALNUT ST, GREEN BAY, WI 54301
(920) 432-8777
(920) 435-0749
Mailing address
735 E WALNUT ST, GREEN BAY, WI 54301
(920) 432-8777
(920) 435-0749
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42148600
—
WI
Enumeration date
03/04/2008
Last updated
03/04/2008
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