Individual
W GEORGE WOJCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
719 W MAIN ST, WAUTOMA, WI 54982-8503
(920) 787-7472
(920) 787-5458
Mailing address
719 W MAIN ST, WAUTOMA, WI 54982-8503
(920) 787-7472
(920) 787-5458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15825-131
WI
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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