Individual
MS. TAMARA NAOMI THOMPSON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
8 STRAUBEL CT STE 100, MADISON, WI 53704-4104
(608) 535-9525
Mailing address
W380N6297 N LAKE RD, OCONOMOWOC, WI 53066-5910
(608) 320-3874
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
175M00000X
Lay Midwife
—
—
372500000X
Chore Provider
—
—
374J00000X
Doula
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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