TRACY RENDERMAN

WISCONSIN RAPIDS, WI
NPI1205212453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   101YA0400X)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
-- TRACY RENDERMAN SAC, IDP
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494-6445
Phone number: 715-421-8869
Mailing Address
-- TRACY RENDERMAN SAC, IDP
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494-6445
Phone number: 715-694-2188
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