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Individual

MR. GEORGE WALTER WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW CAPSW

Contact information

Practice address
612 N RANDALL AVE, JANESVILLE, WI 53545-1958
(262) 853-1859
Mailing address
612 N RANDALL AVE, JANESVILLE, WI 53545-1958
(262) 853-1859

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129414-121
WI

Other

Enumeration date
09/16/2014
Last updated
09/16/2014
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