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Individual
MS. TINA L PLOETZ
Active
Individual
MS. TINA L PLOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3409125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41003200
—
WI
Enumeration date
10/04/2006
Last updated
07/08/2007
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