Individual
TARA FOYTIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 WILLARD DR STE 136, GREEN BAY, WI 54304-5296
(920) 659-5660
Mailing address
3211 WILLOW RD, BELLEVUE, WI 54311-6852
(920) 242-9582
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1118-228
WI
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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