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Individual

TONTIANA NICOLE STRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SAC

Contact information

Practice address
127 W CENTRAL ST, CHIPPEWA FALLS, WI 54729-2346
(715) 726-9023
(715) 726-9055
Mailing address
914 WALNUT ST, EAU CLAIRE, WI 54703-2780
(715) 828-1313
(715) 726-9055

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15905-131
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15905-131
STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
01/20/2017
Last updated
01/20/2017
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