Individual
TIERNEY VOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Mailing address
123 S LUDINGTON ST, COLUMBUS, WI 53925-1517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16061132
WI
1041C0700X
Clinical Social Worker
Primary
8656123
WI
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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