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Individual

TANYA CZARNECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW

Contact information

Practice address
1300 N JACKSON ST, MILWAUKEE, WI 53202-2602
(414) 390-5800
(414) 390-5808
Mailing address
1300 N JACKSON ST, MILWAUKEE, WI 53202-2602
(414) 390-5800
(414) 390-5808

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1291888-121
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129188-121
WI LICENSE
WI
Enumeration date
03/07/2014
Last updated
03/07/2014
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