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1962500769
SALLY SUE TARVID
ELM GROVE, WI
NPI
1962500769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7099123)
Enumeration Date
2006-09-20
Last Update Date
2016-01-28
Business Address
Mrs. SALLY SUE TARVID LCSW
740 PILGRIM PKWY SUITE 103
ELM GROVE, WI 53122-2067
Phone number: 414-491-0377
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Mailing Address
Mrs. SALLY SUE TARVID LCSW
740 PILGRIM PKWY SUITE 103
ELM GROVE, WI 53122-2067
Phone number: 414-491-0377
Copy
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