Individual
KARLYE K. NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
320 21ST ST N, MENOMONIE, WI 54751-2228
(715) 235-4537
(715) 235-4535
Mailing address
E9161 639TH AVE, ELK MOUND, WI 54739-9390
(715) 642-3056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14544131
WI
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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