Individual
WILLARD J SECOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1810 APPLETON RD, MENASHA, WI 54952-1110
(920) 739-4226
(920) 432-5966
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39294500
—
WI
Enumeration date
02/28/2006
Last updated
08/02/2016
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