TAMARA MARIE DOUGHERTY

WEST BEND, WI
NPI1467647677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  15350-132)
Enumeration Date2007-09-11
Last Update Date2009-12-28
Business Address
TAMARA MARIE DOUGHERTY CSAC
400 W RIVER DR
WEST BEND, WI 53090-1567
Phone number: 262-338-2717
Mailing Address
TAMARA MARIE DOUGHERTY CSAC
400 W RIVER DR
WEST BEND, WI 53090-1567
Phone number: 262-338-2717
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