SARA NAOMI WALLACE -TOMCZAK

EAU CLAIRE, WI
NPI1699928440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  14558-130)
Enumeration Date2008-10-24
Last Update Date2008-10-24
Business Address
SARA NAOMI WALLACE -TOMCZAK SACIT, MT, IDP-AT
3136 CRAIG RD
EAU CLAIRE, WI 54701-6109
Phone number: 715-835-9110
Mailing Address
SARA NAOMI WALLACE -TOMCZAK SACIT, MT, IDP-AT
3136 CRAIG RD
EAU CLAIRE, WI 54701-6109
Phone number: 715-835-9110
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