TARA NOTZKE

MENASHA, WI
NPI1346397122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  14008)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
-- TARA NOTZKE
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
Mailing Address
-- TARA NOTZKE
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3298
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