Individual
TERI LYNN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N6628 METCALF RD, STONE LAKE, WI 54876-8817
(715) 558-5377
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-2195
(715) 349-8528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/28/2020
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