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Individual

CHAD THOMAS LORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSE, NCC

Contact information

Practice address
1478 KENWOOD DR STE 1, MENASHA, WI 54952-1161
(920) 886-9319
Mailing address
423 1/2 E DOTY AVE, NEENAH, WI 54956-2975
(920) 707-3110

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1646-226
WI

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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