Individual
TARAH LYNN LILJEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24178 FIRST AVE., STE 2, SIREN, WI 54872-0381
(715) 349-8913
(715) 349-8913
Mailing address
PO BOX 381, SIREN, WI 54872-0381
(715) 349-8913
(715) 349-8981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
11/15/2019
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