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Individual

DANA JO WEIDEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PC-IT

Contact information

Practice address
420 3RD ST S, WISC RAPIDS, WI 54494-4350
(715) 712-1523
(715) 712-0781
Mailing address
420 3RD ST S, WISC RAPIDS, WI 54494-4350
(715) 712-1523
(715) 712-0781

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4145-226
WI

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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