Organization
TABLETOP RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY KIDDER LPC (DIRECTOR)
(715) 222-7588
Entity
Organization
Contact information
Practice address
111 ELM ST, SPOONER, WI 54801-1327
(715) 222-7588
Mailing address
W3476 MORNINGSIDE RD, SARONA, WI 54870-9274
(715) 222-7588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/19/2024
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