Individual
MR. THOMAS MICHAEL DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3118 N TEUTONIA AVE, MILWAUKEE, WI 53206-2264
(414) 264-6155
(414) 264-8288
Mailing address
6518 W CAPITOL DRIVE, SUITE 208, MILWAUKEE, WI 53216
(414) 466-3204
(414) 466-3206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3400-125
WI
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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