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Individual

TROY ECKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.W.

Contact information

Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10197-120
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42139300WI
WI
Enumeration date
09/21/2011
Last updated
09/21/2011
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