Mark Mixdorf, ICSW
Mark Mixdorf, ICSW is a Clinical Social Worker in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
1100 Lake View DrWausau, WI 54403-6785
Phone: (715) 848-4600
Fax: (715) 845-5398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 2541-123 (WI) |
|---|
Record details
| NPI number | 1659387603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ICSW |
| Sole proprietor | No |
| NPI enumerated | July 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1100 Lake View Dr, Wausau, WI 54403-6785 |
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Karen M Loka, ICSW
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Mark R Moser, LCSW
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