Individual
TANYA DESARMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5934 S BUSINESS DR, SHEBOYGAN, WI 53081-8914
(920) 459-9277
(920) 459-7920
Mailing address
5934 S BUSINESS DR, SHEBOYGAN, WI 53081-8914
(920) 459-9277
(920) 459-7920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127236121
WI
1041C0700X
Clinical Social Worker
Primary
7843-123
WI
Other
Enumeration date
08/11/2010
Last updated
12/03/2012
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