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Individual

JOHN C PULS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1122 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2776
(608) 935-3174
Mailing address
1122 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2776
(608) 935-3174

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1227-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39574800
WI
Enumeration date
07/24/2006
Last updated
07/07/2008
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