Individual
MR. DAVID F. WILTZIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
196 3RD ST, FOND DU LAC, WI 54935-4418
(920) 921-3343
(920) 921-0989
Mailing address
196 3RD ST, FOND DU LAC, WI 54935-4418
(920) 921-3343
(920) 921-0989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
780-125
WI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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