Individual
TAMARA L ENDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT LCSW
Contact information
Practice address
212 S 11TH STREET, LACROSSE, WI 54601
(608) 791-9555
(608) 791-9432
Mailing address
700 WEST AVENUE SOUTH, ATTN PHYSICIAN SERVICES, LACROSSE, WI 54601
(608) 791-4156
(608) 791-9898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4232
WI
106H00000X
Marriage & Family Therapist
486
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39788900
—
WI
Enumeration date
06/03/2006
Last updated
09/11/2025
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