Gerald Vedra ICSW

NPI 1083626097 - Social Worker - 1041C0700X

NPI Details
NPI 1083626097
Gender Male
Enumeration Date 08/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1100 LAKE VIEW DR
WAUSAU WI, 54403-6785, US
Phone (715) 848-4600
Fax (715) 845-5398
Business Location
1100 LAKE VIEW DR
WAUSAU WI, 54403-6785, US
Phone (715) 848-4600
Fax (715) 845-5398
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 399-123
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According to our database, Gerald Vedra ICSW NPI is 1083626097, taxonomy code is 1041C0700X and license number is 399-123, license state is located at Wisconsin. Gerald Vedra ICSW physically located at 1100 Lake View Dr, Wausau WI, 54403-6785. NPI Number Gerald Vedra ICSW has the Individual type.

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1083626097 NPI number is provided on an as is basis without warranty of any kind. 1083626097 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Vedra ICSW are for informational purposes only.