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Individual

JOHN R STREYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
505 KING ST, SUITE 025, LA CROSSE, WI 54601-9204
(608) 785-7000
(608) 785-7477
Mailing address
320 17TH ST S, LA CROSSE, WI 54601-4925
(608) 775-2287

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2363
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130525
UCARE
MN
05
296318300
MN
01
389K4ST
BCBS-MN
MN
05
39631200
WI
01
HP46705
HEALTHPARTNERS
MN
Enumeration date
06/21/2005
Last updated
05/18/2016
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