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Individual

JANET F TENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW ICSW LMFT CADCII

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2125132
WI
1041C0700X
Clinical Social Worker
Primary
294122
WI
106H00000X
Marriage & Family Therapist
579124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40972700
WI
Enumeration date
03/31/2008
Last updated
03/31/2008
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