Individual
TEDMUND MERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8800
Mailing address
112 E 2ND ST APT 106, MARSHFIELD, WI 54449-2860
(715) 323-0892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20858-130
WI
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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