Individual
TAMRA FUERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
1221 INNOVATION DRIVE STE. 221, WHITEWATER, WI 53190
(262) 473-0670
(262) 473-0670
Mailing address
PO BOX 301, PORTAGE, WI 53901
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131869
WI
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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