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Individual

GEORGE VOHWINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
W350S1401 WATERVILLE RD, DOUSMAN, WI 53118-9020
(262) 965-2131
Mailing address
W350S1401 WATERVILLE RD, DOUSMAN, WI 53118-9020

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4185-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39721900
WI
01
4185-123
LICENSE
WI
Enumeration date
04/18/2008
Last updated
04/18/2008
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