Individual
TALYA MARIE PETERSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3015 N 114TH ST, WAUWATOSA, WI 53222-4208
(414) 431-4444
Mailing address
3015 N 114TH ST, WAUWATOSA, WI 53222-4208
(414) 431-4444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1764-226
WI
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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