Individual
JOHN R. THUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2600 STEWART AVE, STE 38, WAUSAU, WI 54401-4148
(715) 845-4900
(715) 845-4970
Mailing address
6623 COUNTY ROAD K, AMHERST, WI 54406-9160
(715) 845-4900
(715) 845-4970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
376-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39575900
—
WI
Enumeration date
05/21/2007
Last updated
10/24/2007
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