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Individual

JAMES SEYMOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW/CSAC

Contact information

Practice address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4332
Mailing address
PO BOX 396, CRANDON, WI 54520-0396
(715) 478-4332

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15590-132
WI
104100000X
Social Worker
10363-120
WI

Other

Enumeration date
02/18/2014
Last updated
02/18/2014
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