JODIE TIRADO

BLACK RIVER FALLS, WI
NPI1174909378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  17348-130)
Enumeration Date2015-08-11
Last Update Date2015-08-11
Business Address
JODIE TIRADO
W9850 AIRPORT RD.
BLACK RIVER FALLS, WI 54615-0918
Phone number: 715-284-9851
Mailing Address
JODIE TIRADO
PO BOX 918
BLACK RIVER FALLS, WI 54615-0918
Phone number: 715-284-9851
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