Individual
MR. FWJ HER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT, QTT
Contact information
Practice address
393 RED CEDAR ST STE 3, MENOMONIE, WI 54751-2267
(715) 308-3871
(888) 972-4831
Mailing address
393 RED CEDAR ST STE 3, MENOMONIE, WI 54751-2267
(715) 308-3871
(888) 972-4831
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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