Individual
TAMMI LYNN WAGNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
11009 N SAN MARINO DR, MEQUON, WI 53092-5851
(414) 477-8465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130924-121
WI
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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