Individual
THERESA TONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 DEWITT ST, PORTAGE, WI 53901-2114
(608) 225-7189
Mailing address
322 DEWITT ST, PORTAGE, WI 53901-2114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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