Individual
MRS. TANA J RODRIGUEZ-BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10201 W LINCOLN AVE, WEST ALLIS, WI 53227-2136
(920) 723-7666
Mailing address
30428 BEACHVIEW LN, WATERFORD, WI 53185-3455
(920) 723-7666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7037-125
WI
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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