Individual
MR. JOHN WAGENKNECHT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
Mailing address
6981 TIMBER RIDGE CIR, EAU CLAIRE, WI 54701-8909
(715) 577-7130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7214-123
WI
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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