Individual
MRS. TARA LYNN PASHOLK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABA CERTIFIED
Contact information
Practice address
113 NORTH 9TH AVE, WAUSAU, WI 54401
(715) 551-8562
Mailing address
113 NORTH 9TH AVE, WAUSAU, WI 54401
(715) 551-8562
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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