Individual
TARA MARIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 8TH ST # LL, BARABOO, WI 53913-1794
(608) 963-6753
Mailing address
10 HIGH POINT OAKS LN APT 304, MADISON, WI 53719-2398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7001-125
WI
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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