Individual
JOHN J. WEYROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.S.W, L.C.S.W
Contact information
Practice address
225 N BEAUMONT RD, SUITE 326, PRAIRIE DU CHIEN, WI 53821-1445
(608) 326-0248
(608) 326-4395
Mailing address
225 N BEAUMONT RD, SUITE 326, PRAIRIE DU CHIEN, WI 53821-1445
(608) 326-0248
(608) 326-4395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6781-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241790
MIDLAND CHOICE
WI
05
—
40944800
—
WI
Enumeration date
06/13/2006
Last updated
11/28/2011
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