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Organization

DEAN SANER, PSY.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEAN SANER PSY.D. (PSYCHOLOGIST)
(608) 637-2511
Entity
Organization

Contact information

Practice address
122 W SOUTH ST, VIROQUA, WI 54665-1943
(608) 637-2511
Mailing address
122 W SOUTH ST, P.O. BOX 206, VIROQUA, WI 54665-1943
(608) 637-2511

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2089057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39753300
WI
Enumeration date
02/21/2011
Last updated
02/21/2011
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