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Individual

MR. RICHARD A. WANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
809 US HWY. 8 EAST, ST. CROIX FALLS, WI 54024
(715) 483-3544
(715) 483-3741
Mailing address
1596 25TH AVE, RICE LAKE, WI 54868-9325
(715) 234-4419

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2191-125
WI

Other

Enumeration date
02/15/2007
Last updated
07/08/2007
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