Individual
JOHN WILLIAM WEEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-7908
Mailing address
3200 OLDE HICKORY TRL, GREEN BAY, WI 54313-9273
(920) 831-7908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6860-123
WI
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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