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Individual

STEVEN ELTON CAVNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7350
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7350

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
950
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39114600
WI
Enumeration date
09/08/2005
Last updated
02/10/2012
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