Individual
MRS. TONIA YVETTE BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1810 NORTH 2ND STREET, WAUSAU, WI 54403
(715) 848-4884
(715) 845-5385
Mailing address
1810 NORTH 2ND STREET, WAUSAU, WI 54403
(715) 848-4884
(715) 845-5385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127692-121
WI
104100000X
Social Worker
Primary
8836-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028416
—
WI
Enumeration date
09/06/2012
Last updated
01/04/2018
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