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Individual

MR. BRUCE EDWARD WENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LCSW

Contact information

Practice address
3000 WESTHILL DR, SUITE 100, WAUSAU, WI 54401-3795
(715) 847-2772
(715) 847-2928
Mailing address
3000 WESTHILL DR, SUITE 100, WAUSAU, WI 54401-3795
(715) 847-2772
(715) 847-2928

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
442-125
WI
1041C0700X
Clinical Social Worker
1265-123
WI

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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