Individual
TEHYA MAE VIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
937 S 121ST ST, WEST ALLIS, WI 53214-2006
(608) 618-3103
Mailing address
937 S 121ST ST, WEST ALLIS, WI 53214-2006
(414) 902-3788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12257123
WI
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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