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Individual
TAMIE ROBERTS
Active
Individual
TAMIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3047125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40934900
—
WI
Enumeration date
08/10/2006
Last updated
04/24/2015
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